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Jefferson City Medical Group, P.c.
Hematology & Oncology Physician in Jefferson City, Missouri
NPI 1215093257

Jefferson City Medical Group, P.c. is a Hematology & Oncology Physician based in Jefferson City, MO and is specialized in Hematology & Oncology. Jefferson City Medical Group, P.c. practices in Jefferson City, MO. The NPI Number for Jefferson City Medical Group, P.c. is 1215093257 and holds a License No. (Missouri).

The current practice location address for Jefferson City Medical Group, P.c. is 1241 W Stadium Blvd, Jefferson City, MO and can be reached out via phone at 573-635-5264.

Location: 1241 W Stadium Blvd, Jefferson City, MO, 65110-4240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215093257
Provider Name
Jefferson City Medical Group, P.c.
Credential
Provider Entity Type
Organization
Address
1241 W Stadium Blvd, Jefferson City, MO, 65110-4240
Phone Number
573-635-5264
Fax Number
Provider Enumeration Date
12/27/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
CP9089 01 MO MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
1241 W Stadium Blvd
City
Jefferson City
State
Missouri
Zip
65109-6023
Phone Number
573-635-5264
Fax Number
person
Provider Business Mailing Address Details
Address
1241 W Stadium Blvd
City
Jefferson City
State
Missouri
Zip
65109-6023
Phone Number
573-635-5264
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
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Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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