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Individual

JEFFERY O ARMSTRONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA C

Contact information

Practice address
901 PATIENTS FIRST DR, SUITE 300, WASHINGTON, MO 63090-4700
(636) 390-1595
(636) 390-1596
Mailing address
901 PATIENTS FIRST DR, SUITE 300, WASHINGTON, MO 63090-4700
(636) 390-1595
(636) 390-1596

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003793
GA
363A00000X
Physician Assistant
Primary
2013028988
MO
363AM0700X
Medical Physician Assistant
003793
GA
363AS0400X
Surgical Physician Assistant
003793
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100001710D
GA
01
DC4061
RAILROAD MEDICARE
GA
01
P00185784
RAILROAD MEDICARE
GA
01
P01250863
RAILROAD MEDICARE
MO
Enumeration date
09/02/2005
Last updated
05/27/2014
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