Individual
JIE REN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6000
Mailing address
1251 RICHLAND MEADOWS DR, BALLWIN, MO 63021-4435
(636) 386-8016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2005016642
MO
Other
Enumeration date
05/24/2007
Last updated
11/29/2021
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