Individual
JACOB ADAM QUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2299
(573) 302-2296
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2014005688
MO
2086S0102X
Surgical Critical Care Physician
Primary
2014005688
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200014276
—
MO
Enumeration date
06/19/2008
Last updated
09/12/2022
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