Individual
DR. JEREMY WILSON HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6122
(816) 271-6122
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6122
(816) 271-6122
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2012041516
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841519907
—
MO
01
—
P01628479
RR MEDICARE
MO
Enumeration date
05/27/2010
Last updated
03/20/2017
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