JORDAN TRACE PERKINS

SAINT LOUIS, MO
NPI1184281909
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: MO  2021021646)
Enumeration Date2019-05-28
Last Update Date2021-06-14
Business Address
JORDAN TRACE PERKINS MD
1008 S SPRING AVE
SAINT LOUIS, MO 63110-2520
Phone number: 314-977-1642
Mailing Address
JORDAN TRACE PERKINS MD
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104-1004
Phone number: 314-977-1642
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