Pediatrics, Sports Medicine
JONATHAN MINOR M.D.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1609195452 · enumerated 2010-05-19 · record updated 2026-03-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 910 W 10TH ST, ROLLA, MO, 65409-6519 (573) 342-4284 Fax (573) 341-6967 Google Maps Apple Maps OpenStreetMap
- Practice location 910 W 10TH ST, ROLLA, MO, 65409-6519 (573) 342-4284 Fax (573) 341-6967 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics, Sports Medicine 2080S0010X · Primary · License A137057 CA
- General Practice 208D00000X · License 2020036607 MO
In this directory
Locations and evidence
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Practice location
ROLLA, MO, 654096519
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.