Individual
DUSTIN JAMBORETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 DES PERES RD STE 210, SAINT LOUIS, MO 63131-2062
(314) 896-4263
Mailing address
7801 NE 74TH PL, KANSAS CITY, MO 64158-1269
(816) 668-8915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
01/25/2020
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