Individual
DR. JENNIFER M SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2712 PLAZA DR, JEFFERSON CITY, MO 65109-1147
(573) 893-5500
(573) 893-3280
Mailing address
2712 PLAZA DR, JEFFERSON CITY, MO 65109-1147
(573) 893-5500
(573) 893-3280
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
119368
MO
Other
Enumeration date
08/09/2005
Last updated
12/22/2014
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