Individual
DR. JOSHUA E JENSEN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11155 DUNN RD, SUITE 108N, SAINT LOUIS, MO 63136-6150
(314) 953-8300
(314) 953-8333
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(314) 953-8300
(314) 953-8333
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36330
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200148401
—
MO
Enumeration date
02/07/2006
Last updated
10/07/2014
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