NPI | 1093235129 |
---|---|
Doing Business As | JMJ MEDICAL |
Entity Type | Organization |
Authorized Contact | NOEL CASINO Practice Administrator 314-283-8950 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO R5P40) |
Additional Taxonomies | 208D00000X General Practice (Licence: MO R5P40) |
Enumeration Date | 2017-06-20 |
Last Update Date | 2019-11-13 |