Individual
DR. JARED VEGA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DIV NEUROLOGY MULTIPLE SCLEROSIS, 7TH FL, SAINT LOUIS, MO 63110-1032
(314) 362-3293
(314) 747-1345
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-3293
(314) 747-1345
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2021021950
MO
2084N0400X
Neurology Physician
Primary
2026000730
MO
Other
Enumeration date
06/15/2021
Last updated
01/14/2026
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