Most Relevant Information
Provider Data
| NPI Number: | 1003653007 |
| Provider Name: | MATHEW MICHAEL JURY DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/09/2024 |
| Last Updated: | 07/10/2024 |
Provider Practice Location
315 S OSTEOPATHY AVE
KIRKSVILLE
MO
635016401
Practice Location Phone/Fax
| Phone: | 6607851400 |
| Fax: |
Provider Mailing Location
315 S OSTEOPATHY AVE
KIRKSVILLE
MO
635016401
Provider Mailing Phone/Fax
| Phone: | 6607851400 |
| Fax: |