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1689056111
JEFFREY EDWARD DESMIDT
SAINT LOUIS, MO
NPI
1689056111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MO 2015016412)
Enumeration Date
2015-06-20
Last Update Date
2015-06-20
Business Address
JEFFREY EDWARD DESMIDT
3635 VISTA AVE ST LOUIS UNIVERSITY HOSPITAL
SAINT LOUIS, MO 63110-2539
Phone number: 314-268-7133
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Mailing Address
JEFFREY EDWARD DESMIDT
1402 S GRAND BLVD RM M260 ST LOUIS UNIVERSITY SCHOOL OF MEDICINE
SAINT LOUIS, MO 63104-1004
Phone number: 314-977-9852
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