Individual provider · Type 1 NPI

Jonathan Lee Minor, MD

Pediatric Sports Medicine Physician · Rolla, MO

NPI number 1609195452 Active

Practice location

910 W 10th St
Rolla, MO 65409-6519

Fax (573) 341-6967

Specialties and licenses

TaxonomyCodeLicense
Pediatric Sports Medicine Physician Primary 2080S0010XA137057 (CA)
General Practice Physician 208D00000X2020036607 (MO)

Pediatric Sports Medicine Physician: A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology,…

4 other providers at this address

About NPI 1609195452

Jonathan Lee Minor, MD's National Provider Identifier is 1609195452, issued on May 19, 2010. The primary taxonomy on file is Pediatric Sports Medicine Physician (2080S0010X), and the practice location is in Rolla, MO. The record was last updated on Mar 30, 2026.