Jefferson Physician Network, LLC

NPI #1558508606 in Festus, Missouri

Provider Information

NPI Number
1558508606
Entity Type
Organization
Organization Name
Jefferson Physician Network, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
JEFFERSON MEMORIAL HOSPITAL ASSOCIATION
Primary Specialty
Surgery - Vascular Surgery
Enumeration Date
Jan 12, 2009
Last Updated
Mar 12, 2013

Practice Location

Address
1400 HIGHWAY 61
Address 2
SUITE 240
City
Festus
ZIP Code
63028-4100
Phone
(636) 931-4002

Authorized Official

Name
MR. DANIEL S. ECKENFELS
Title
CFO
Phone
(636) 933-1107

Specialties & Taxonomy Codes

Specialty
Surgery - Vascular SurgeryVascular Surgery

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