Individual provider · Type 1 NPI

Jack Thomas Vesper

Family Medicine Physician · St. Louis, MO

NPI number 1205670205 Active

Practice location

615 S New Ballas Rd
St. Louis, MO 63141-8221

Call (314) 251-6000 Map

Mailing address

1906 Huntington Ave
Nichols Hills, OK 73116-5506

Other practice locations

  • 12680 Olive Blvd Ste 300, St. Louis, MO 63141-6322 · (314) 251-8888

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X2026025517 (MO)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1205670205

Jack Thomas Vesper's National Provider Identifier is 1205670205, issued on Jun 24, 2024. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 10, 2026.