Jennifer M Su, MD Valid NPI

Individual provider · Obstetrics & Gynecology Physician · Jefferson City, MO

NPI

1871594218

Type

Individual (Type 1)

Primary specialty

Obstetrics & Gynecology Physician (Obstetrics & Gynecology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207V00000X

License number

119368 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2005-08-09

Last updated

2014-12-22