DR. JASON VANGUNDY, M.D.

Family Medicine

Active Individual
NPI: 1790746071

Practice Address

400 MEDICAL PLZ STE 200
Lake St Louis, MO 63367

Phone: (636) 625-2662

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 2001012077 (MO)

Frequently Asked Questions

NPI 1790746071 is the National Provider Identifier for DR. JASON VANGUNDY, M.D., a Family Medicine provider located in Lake St Louis, MO. This NPI was enumerated on March 28, 2006.
DR. JASON VANGUNDY, M.D. practices at 400 MEDICAL PLZ STE 200, Lake St Louis, MO 63367.

Quick Facts

NPI
1790746071
Type
Individual
Enumerated
Mar 28, 2006
Last Updated
Nov 25, 2020

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