Individual
DAVID JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
530 NW MURRAY RD, EMERGENCY DEPARTMENT, LEES SUMMIT, MO 64081-1434
(816) 969-6310
Mailing address
PO BOX 47164, ATTN: LISA BROWER, WICHITA, KS 67201-7164
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
115495
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243848702
—
MO
Enumeration date
01/03/2006
Last updated
11/06/2009
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