Individual
DR. JHONY Y DOUMIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10012 KENNERLY RD STE 102, SAINT LOUIS, MO 63128-2197
(314) 543-5911
(314) 543-5914
Mailing address
10012 KENNERLY RD STE 102, SAINT LOUIS, MO 63128-2197
(314) 543-5911
(314) 543-5914
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2008007444
MO
207R00000X
Internal Medicine Physician
57005530
OH
207RG0100X
Gastroenterology Physician
Primary
2008007444
MO
Other
Enumeration date
03/04/2008
Last updated
04/07/2021
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