Jefferson Physician Network, LLC
Jefferson Physician Network, LLC is an Endocrinology, Diabetes & Metabolism Physician in Farmington, Missouri. Licensed in Missouri. Registered with an NPI since 2012.
- Licensed in
- MO
- In the registry since
- 2012
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1105 W Liberty StFarmington, MO 63640-1921
Phone: (636) 933-2900
Fax: (636) 933-8017
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Endocrinology, Diabetes & Metabolism Physician (primary) | Taxonomy 207RE0101X · Licence 2009008025 (MO) |
|---|---|
| Endocrinology, Diabetes & Metabolism Physician | Taxonomy 207RE0101X · Licence 2010010722 (MO) |
| Rheumatology Physician | Taxonomy 207RR0500X · Licence 2009017530 (MO) |
Record details
| NPI number | 1568734994 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeff Buck — Interiem Chief Executive Officer · (636) 933-1000 |
| NPI enumerated | February 1, 2012 |
| Last updated in NPPES | February 1, 2012 |
| Mailing address | Po Box 350, Crystal City, MO 63019-0350 |