Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
100 MEDICAL PLZ
LAKE SAINT LOUIS, MO 63367-1366 US
PECOS Enrolled

Jason Gutting

Pediatrician


Jason Gutting

Overview

Jason Gutting is a Pediatrician in the LAKE SAINT LOUIS area. Jason Gutting primary office location is at 100 MEDICAL PLZ and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1205851755 and the information was updated approximately 10 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
100 MEDICAL PLZ
LAKE SAINT LOUIS, MO 63367-1366 US
Phone: (636)-625-5200
Fax:
Practice Mailing Information
100 MEDICAL PLZ
LAKE SAINT LOUIS, MO 63367-1366 US
Phone:
Fax:
License Number State
114932 MO

No Identifiers found

Taxonomy StatePrimary?
Pediatrician - Taxonomy Code 208000000X MOY

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes