Individual
DR. JONATHAN RAPHAEL SCHWEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB.BCH.BAO
Contact information
Practice address
1 CHILDREN'S PL CB 8116, ST LOUIS, MO 63110
(314) 454-6095
(314) 454-2561
Mailing address
1617 S LINCOLN AVE, SPRINGFIELD, IL 62704-3418
(217) 899-5004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2020018961
MO
Other
Enumeration date
07/12/2017
Last updated
07/01/2020
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