Search › Missouri › 1223G0001X
Jacques Dupre
NPI 1336558543 · on the registry since 2014
Practice
- Address
- 6958 Nebraska Ave
Fort Leonard Wood, MO 65473 - Phone
- (573) 596-0411
- Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
122300000X
1223G0001X - Licence states on file
- IL, MO, OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-23
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