Individual
MR. SAMRAT JUN JAYANTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6420 CLAYTON ROAD, SSM HEALTH ST MARY'S HOSPITAL, ST. LOUIS, MO 63117
(314) 768-8778
(314) 768-7101
Mailing address
6420 CLAYTON ROAD, SSM HEALTH ST MARY'S HOSPITAL, ST. LOUIS, MO 63117
(314) 768-8778
(314) 768-7101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022027534
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2019
Last updated
09/12/2022
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