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NPI Code Detail

MEDICARE: JEFFREY A ATKINS M.D.

MEDICARE:   JEFFREY A ATKINS  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
1207Q00000XFamily Medicine PhysicianR3L25MO

Other Identifiers

General Provider Information

NPI Number : 1962496695
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY A ATKINS M.D.
Provider Business Mailing Address
First Line : 107 PIPER HILL DR STE 100
Second Line :
City : SAINT PETERS
State : MO
Zip : 63376-1651
Country : US
Telephone Number : 636-447-4149
Fax Number :
Provider Business Practice Location Address
First Line : 107 PIPER HILL DR STE 100
Second Line :
City : SAINT PETERS
State : MO
Zip : 63376-1651
Country : US
Telephone Number : 636-447-4149
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 07/21/2022

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Directions to “ JEFFREY A ATKINS M.D.” Practice Location

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