Individual
DR. JENNIFER NICOLE O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
1000 N JEFFERSON ST, SAINT JAMES, MO 65559
(573) 265-8840
(573) 265-8884
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015020983
MO
Other
Enumeration date
05/08/2012
Last updated
08/22/2019
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