RICHARD JAY IKEN

JEFFERSON CITY, MO
NPI1962613430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MO  R3B55)
Additional Taxonomies208000000X Pediatrics
(Licence: TX  M2657)
Enumeration Date2007-05-25
Last Update Date2016-02-10
Business Address
Dr. RICHARD JAY IKEN M.D.
1125 MADISON ST
JEFFERSON CITY, MO 65101-5227
Phone number: 573-632-5525
Mailing Address
Dr. RICHARD JAY IKEN M.D.
1125 MADISON ST
JEFFERSON CITY, MO 65101-5227
Phone number: 573-632-5525