Jared J Dirks MD PC

Organization Active NPI Family Medicine Physician · Concordia, MO

NPI 1205936853 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1205936853
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
2005037602 (MO)
Legal business name
JARED J DIRKS MD PC
Practice address
905 S Main St
Concordia, MO 64020-8335
Phone
(660) 463-7966
Fax
(660) 463-7729
NPI assigned
Sep 24, 2006
Organization subpart
No

Authorized official

Name
Jared Jay Dirks, M.D.
Title
Physician
Phone
(660) 463-7966

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X 2005037602 MO Yes

Addresses

Primary practice location

905 S Main St
Concordia, MO 64020-8335

Mailing address

905 S Main St
Concordia, MO 64020-8335
Phone (660) 463-7966

Other providers in Concordia, MO

All providers in Concordia, MO · Family Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.