NPI 1275774077

Jackie R Goostree

Practitioner Surgical Technologist Saint Peters, MO

Practice location

Address: 5401 Veterans Memorial Pkwy STE 100, Saint Peters, MO 63376-1681
Phone: (636) 441-0906
Fax: (636) 928-9288
Mailing address: 20 Parkview Dr, Saint Peters, MO 63376-2919

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X

Other Specialist/Technologist, Other providers in Missouri →

Registry record

NPI: 1275774077
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2009
Record last updated: 9 Mar 2009

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.