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NPI Code Detail

MEDICARE: DAVID ALAN JANSSEN M.D.

MEDICARE: DAVID ALAN JANSSEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease Physician208810309MO
2174400000XSpecialist103905MO
3207RI0200XInfectious Disease Physician036176531IL

General Provider Information

NPI Number : 1700995339
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ALAN JANSSEN M.D.
Provider Business Mailing Address
First Line : 20 PROGRESS POINT PKWY STE 206
Second Line :
City : O FALLON
State : MO
Zip : 63368-2207
Country : US
Telephone Number : 636-344-2014
Fax Number : 314-747-1476
Provider Business Practice Location Address
First Line : 20 PROGRESS POINT PKWY STE 206
Second Line :
City : O FALLON
State : MO
Zip : 63368-2207
Country : US
Telephone Number : 636-344-2014
Fax Number : 314-747-1476
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 10/21/2025

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