Federico Jimenez, Inc | |
2938 Telegraph Rd Saint Louis MO 63125-4061 | |
(314) 892-4405 | |
(314) 892-4406 |
Full Name | Federico Jimenez, Inc |
---|---|
Speciality | Family Medicine |
Location | 2938 Telegraph Rd, Saint Louis, Missouri |
Authorized Official Name and Position | Federico J Jimenez (OWNER) |
Authorized Official Contact | 3148924405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Federico Jimenez, Inc 2938 Telegraph Rd Saint Louis MO 63125-4061 Ph: (314) 892-4405 | Federico Jimenez, Inc 2938 Telegraph Rd Saint Louis MO 63125-4061 Ph: (314) 892-4405 |
NPI Number | 1003995325 |
---|---|
Provider Enumeration Date | 11/06/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003995325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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