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

Jack Thomas Vesper

Individual provider Family Medicine Physician · NPI 1205670205

Jack Thomas Vesper is a Family Medicine Physician in Saint Louis, Missouri. Practices as a sole proprietor and works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2024

Practice location Address checks out

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (314) 251-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12680 Olive Blvd Ste 300, Saint Louis, MO 63141-6322 — (314) 251-8888

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2026025517 (MO)

Record details

NPI number1205670205
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 24, 2024
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

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