Individual
SOCRATES C. JAMOULIS
Active
Individual
SOCRATES C. JAMOULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
143388
MO
2085R0202X
Diagnostic Radiology Physician
23369
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124320C
—
KS
05
—
204795108
—
MO
01
—
2267634
AETNA
—
01
—
26323071
BCBS
MO
Enumeration date
11/22/2005
Last updated
09/28/2010
Update your record
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