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Organization

JOSHUA E JENSEN II MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA E JENSEN II MD (GENERAL SURGEON)
(314) 355-0700
Entity
Organization

Contact information

Practice address
11155 DUNN RD, STE 205 N, ST LOUIS, MO 63136
(314) 355-0700
(314) 355-0705
Mailing address
11155 DUNN RD, STE 205 N, ST LOUIS, MO 63136
(314) 355-0700
(314) 355-0705

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36330
MO

Other

Enumeration date
10/16/2007
Last updated
10/16/2007
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