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1962613430
RICHARD JAY IKEN
JEFFERSON CITY, MO
NPI
1962613430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MO R3B55)
Additional Taxonomies
208000000X Pediatrics
(Licence: TX M2657)
Enumeration Date
2007-05-25
Last Update Date
2016-02-10
Business Address
Dr. RICHARD JAY IKEN M.D.
1125 MADISON ST
JEFFERSON CITY, MO 65101-5227
Phone number: 573-632-5525
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Mailing Address
Dr. RICHARD JAY IKEN M.D.
1125 MADISON ST
JEFFERSON CITY, MO 65101-5227
Phone number: 573-632-5525
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