Jason B Vangundy in Lake St Louis - Family Medicine

Jason B Vangundy - NPI 1790746071

Jason B Vangundy is a Family Medicine in Lake St Louis, Missouri. Jason B Vangundy practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jason B Vangundy is 1790746071. The last update date is 2020-11-25.

Jason B Vangundy's current location address is 400 Medical Plz Ste 200, Lake St Louis, Missouri. You can contact this provider via phone number 6366252662. The mailing address for Jason B Vangundy is 400 Medical Plz Ste 200, Lake St Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason B Vangundy
Address 400 Medical Plz Ste 200, Lake St Louis, Missouri
Phone Number 6366252662
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1790746071
Provider Enumeration Date 2006-03-28
Last Updated Date 2020-11-25

Provider Mailing Address Detail

Address 400 Medical Plz Ste 200
City Lake St Louis
State Missouri (MO)
Post Code 633671417
Phone Number 6366252662
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 2001012077
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Jason B Vangundy

What is the unique identification code assigned to Jason B Vangundy by the Centers for Medicare & Medicaid Services?

The Jason B Vangundy has been issued the NPI (National Provider Identifier) 1790746071. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jason B Vangundy is physically located?

The Jason B Vangundy is situated at the following address: 400 Medical Plz Ste 200, Lake St Louis, MO 633671417.

What is Jason B Vangundy's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jason B Vangundy's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did the Jason B Vangundy receive its 1790746071 assignment from the Centers for Medicare & Medicaid Services?

The Jason B Vangundy was assigned its 1790746071 by the Centers for Medicare & Medicaid Services on 2006-03-28.

When was the information regarding Jason B Vangundy most recently updated?

The details pertaining to the Jason B Vangundy, including its address, specialty, and other relevant information, were last refreshed on 2020-11-25.

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