JORDAN BENJAMIN LEYNES

SAINT LOUIS, MO
NPI1295363372
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-04-01
Last Update Date2020-04-01
Business Address
JORDAN BENJAMIN LEYNES PA, M.M.S
1755 S GRAND BLVD
SAINT LOUIS, MO 63104-1540
Phone number: 636-352-5416
Mailing Address
JORDAN BENJAMIN LEYNES PA, M.M.S
944 OLDE FARM RD
TROY, IL 62294-3128
Phone number: