Individual
CHRISTINE M JANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1402 S GRAND, ST LOUIS, MO 63110
(314) 577-8693
(314) 268-5478
Mailing address
3691 RUTGER AVE, PROVIDER ENROLLMENT, ST LOUIS, MO 63110
(314) 977-4440
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
R1D17
MO
Other
Enumeration date
08/10/2006
Last updated
03/18/2008
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