Jamie L. Puckett, M.D. Valid NPI

Individual provider · Obstetrics & Gynecology Physician · O Fallon, MO

NPI

1164420477

Type

Individual (Type 1)

Primary specialty

Obstetrics & Gynecology Physician (Obstetrics & Gynecology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207V00000X

License number

108740 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2005-07-11

Last updated

2024-09-03