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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN LEE MINOR, M.D.

Active

JONATHAN LEE MINOR, M.D. is a General Practice healthcare provider located in ROLLA, Missouri. NPI 1609195452 is currently active in the NPPES registry. Verify at CMS.

General Practice · ROLLA, MO

Registration Details

NPI Number
1609195452
Provider Type
Individual
Gender
Male
NPI Issued
May 19, 2010 (16.212308418456 yrs)
Last Updated
Nov 11, 2020
Licenses
A137057 (CA)
2020036607 (MO)

Practice Information

Address
910 W 10TH ST
ROLLA, MO, 654096519
Browse MO providers · Browse ZIP 65409
Phone
5733424284
Fax
5733416967
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice

Other General Practice Providers in ROLLA, MO

Name Credential NPI
JAMES JEFFREY BASS M.D. 1336130079
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.