JAMES M JACKMAN

SAINT LOUIS, MO
NPI1639198849
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: MO  2003009177)
Enumeration Date2006-07-19
Last Update Date2022-02-04
Business Address
-- JAMES M JACKMAN DO
3635 VISTA AVE
SAINT LOUIS, MO 63110-2539
Phone number: 314-577-8850
Mailing Address
-- JAMES M JACKMAN DO
3691 RUTGER ST PROVIDER ENROLLMENT
SAINT LOUIS, MO 63110-2515
Phone number: 314-977-4440
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