NPI 1417534967

Jonathan M Richert

Practitioner Health Educator Berkeley, MO

Practice location

Address: 6121 N Hanley Rd, Berkeley, MO 63134-2003
Phone: (314) 615-0600

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X Licence SE-205 (MO)

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Registry record

NPI: 1417534967
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2021
Record last updated: 29 Mar 2021

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.