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Individual

DR. JAIMIE M PFEIFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
5202 FARAON ST, SAINT JOSEPH, MO 64506-3809
(816) 233-2020
(816) 279-4662
Mailing address
5202 FARAON ST, SAINT JOSEPH, MO 64506-3809
(816) 233-2020
(816) 279-4662

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2003015592
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
319219507
MO
Enumeration date
06/01/2005
Last updated
07/19/2012
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