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Individual

DR. ERIC DARVEL JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
660 S EUCLID AVE, CAMPUS BOX 8109, SAINT LOUIS, MO 63110-1010
(314) 362-8028
Mailing address
660 S EUCLID AVE, CAMPUS BOX 8109, SAINT LOUIS, MO 63110-1010
(314) 362-8028

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BB4745785-2006017123
MO

Other

Enumeration date
05/17/2007
Last updated
10/02/2009
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