NPI 1609195452

Jonathan Lee Minor, MD

Practitioner Pediatric Sports Medicine Physician Rolla, MO

Practice location

Address: 910 W 10th St, Rolla, MO 65409-6519
Phone: (573) 342-4284
Fax: (573) 341-6967

Registered specialties (2)

Pediatric Sports Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080S0010X Licence A137057 (CA)

Other Pediatrics providers in Missouri →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 2020036607 (MO)

Other General Practice providers in Missouri →

Registry record

NPI: 1609195452
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2010
Record last updated: 30 Mar 2026

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.