Search › Missouri › 207Q00000X
Anne Jacob, M.B.B.S
NPI 1033107636 · on the registry since 2005
Practice
- Address
- 3649 Page Blvd
Saint Louis, MO 63113 - Phone
- (314) 288-0071
- Fax
- (314) 758-5210
- Organisation at this address
- Dedicated Missouri Holding, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- MN, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri