Individual
DR. JASON JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., M.D.
Contact information
Practice address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 234-2120
Mailing address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036153182
IL
207P00000X
Emergency Medicine Physician
Primary
A151956
CA
Other
Enumeration date
03/18/2016
Last updated
01/05/2021
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