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Individual

DR. WIT ANTHONY JAMRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5621 DELMAR BLVD, #105, SAINT LOUIS, MO 63112-2656
(314) 367-2727
(314) 367-2989
Mailing address
7137 MARYLAND AVE, SAINT LOUIS, MO 63130-4417
(314) 721-0675
(314) 721-2830

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MO 37003
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110160439
RAILROAD MEDICARE
05
203167226
MO
Enumeration date
12/09/2005
Last updated
08/16/2011
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