Individual
MR. JODY T JACHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 1ST CAPITOL DR STE 100, SAINT CHARLES, MO 63301-2881
(636) 332-8455
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-4426
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2005015585
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207332107
—
MO
Enumeration date
07/09/2006
Last updated
10/22/2020
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