Individual
JESSICA WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(636) 386-7222
(636) 386-7810
Mailing address
PO BOX 22407, SAINT LOUIS, MO 63126-0407
(636) 386-7222
(636) 200-4036
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2019021919
MO
207L00000X
Anesthesiology Physician
STUDENT
MO
Other
Enumeration date
05/30/2019
Last updated
06/20/2019
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