Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Physician Network, LLC

Organization Vascular Surgery Physician · NPI 1558508606

Jefferson Physician Network, LLC is a Vascular Surgery Physician in Festus, Missouri. Licensed in Missouri. Registered with an NPI since 2009.

Licensed in
MO
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 Highway 61 Ste 240
Festus, MO 63028-4100
Phone: (636) 931-4002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 2007029096 (MO)

Record details

NPI number1558508606
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationJefferson Memorial Hospital Association
Authorized official Daniel Eckenfels — Cfo · (636) 933-1107
NPI enumeratedJanuary 12, 2009
Last updated in NPPESMarch 12, 2013
Mailing address1400 Us Highway 61, Festus, MO 63028-4100

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