Individual
JENNY VERONICA GOROST DEYTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 884-9066
(573) 884-3037
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085005871
IL
363A00000X
Physician Assistant
2010023051
MO
363A00000X
Physician Assistant
Primary
2021049878
MO
Other
Enumeration date
05/26/2006
Last updated
10/05/2022
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