Organization
JEFFERSON CARDIOVASCULAR AND THORACIC SERVICES
Active
Parent organization
JEFFERSON REGIONAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON REGIONAL MEDICAL CENTER
Authorized official
MR. DANIEL STEVE ECKENFELS (CHIEF FINANCIAL OFFICER)
(636) 933-1107
Entity
Organization
Contact information
Practice address
1390 US HIGHWAY 61, SUITE 3301, FESTUS, MO 63028-4137
(636) 931-6302
(636) 933-5055
Mailing address
1390 US HIGHWAY 61, SUITE 3301, FESTUS, MO 63028-4137
(636) 931-6302
(636) 933-5055
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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