DR. Jerry L Wait, DO

NPI #1316013675 in Brookfield, Missouri

Provider Information

NPI Number: 1316013675
Entity Type: Individual
Name: DR. Jerry L Wait, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Nov 28, 2006
Last Updated: Aug 4, 2009

Practice Location

Address: 130 E LOCKLING ST
City: Brookfield
State: Missouri
ZIP Code: 64628-2337
Phone: (660) 258-1050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Family Medicine	207Q00000X	Primary

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