Individual
DR. JASON THEODORE KORECKIJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
(573) 443-0574
Mailing address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
(573) 443-0574
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2009007659
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104180020
PTAN
MO
Enumeration date
07/10/2006
Last updated
03/17/2025
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