Individual
DR. SAMUEL NATHAN JONAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1016
(314) 362-7200
(314) 747-4189
Mailing address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
(202) 579-7105
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2019009764
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200067602
—
MO
05
—
ENROLLED
—
IL
Enumeration date
03/26/2014
Last updated
02/04/2022
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