JARED ALLEN PENDERGRASS

AURORA, MO
NPI1780282863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2020009814)
Enumeration Date2020-10-12
Last Update Date2020-10-27
Business Address
JARED ALLEN PENDERGRASS PA-C
500 PORTER AVE
AURORA, MO 65605-2365
Phone number: 417-678-7888
Mailing Address
JARED ALLEN PENDERGRASS PA-C
500 PORTER AVE
AURORA, MO 65605-2365
Phone number: 417-678-7888
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