NPI 1003893785

Jetuan L Rowley-Herron, MD

Practitioner Family Medicine Physician Saint Louis, MO

Practice location

Address: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265
Phone: (314) 367-5820
Fax: (314) 367-7010

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2004020480 (MO)

Other Family Medicine providers in Missouri →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 036-111984 (IL)

Sports Medicine (Family Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 036.111984 (IL)

Registry record

NPI: 1003893785
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Dec 2005
Record last updated: 30 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.