Individual
DR. JORDAN CHARLES NEPUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128
(314) 525-4481
Mailing address
11475 OLDE CABIN RD STE 200, SAINT LOUIS, MO 63141-7129
(314) 991-8210
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
58745
TN
2085R0202X
Diagnostic Radiology Physician
2018005762
MO
2085R0202X
Diagnostic Radiology Physician
Primary
MD0000058745
TN
2085R0202X
Diagnostic Radiology Physician
MD466288
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q047642
—
TN
Enumeration date
06/26/2013
Last updated
07/25/2025
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