Individual
SARAH E JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2100 MADISON AVE, GRANITE CITY, IL 62040-4701
(618) 798-3857
(618) 798-3724
Mailing address
2100 MADISON AVE, GRANITE CITY, IL 62040-4701
(618) 798-3857
(618) 798-3724
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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