IndividualActive
Jack Sailor
NPI 1033513692 · Contractor · Saint Louis, MO
Provider details
- NPI number
- 1033513692
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- P059173009 (MO)
Specialties & taxonomies
Other Service Providers
Practice location
2206 Lucas Ave Unit 508
Saint Louis, MO 63103-1555
Phone: (314) 307-4197
Approximate (ZIP-level) locationGet directions
Mailing address
2206 Lucas Ave Unit 508
Saint Louis, MO 63103-1555
Registry dates
- Enumerated
- 2014-10-10
- Last updated
- 2014-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.