Individual
JEREMY S GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5395
(314) 268-6459
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5395
(314) 268-6459
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2005001738
MO
2080P0203X
Pediatric Critical Care Medicine Physician
2005001738
MO
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD213813
OR
Other
Enumeration date
08/11/2006
Last updated
10/31/2022
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