institution
Jefferson City Medical Group, P.c.
Multi-Specialty Clinic/Center in Jefferson City, Missouri
NPI 1336189398

Jefferson City Medical Group, P.c. is a Multi-Specialty Clinic/Center based in Jefferson City, MO and is specialized in Multi-Specialty. Jefferson City Medical Group, P.c. practices in Jefferson City, MO. The NPI Number for Jefferson City Medical Group, P.c. is 1336189398 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 573-556-5747 and via fax at 573-636-9756. You can also correspond with Jefferson City Medical Group, P.c. through the mailing address at PO BOX 104240, JEFFERSON CITY, MO - 65110-4240 (mailing address contact number: 573-635-5264).

Location: 1241 W Stadium Blvd, Jefferson City, MO, 65110-4240
institution
Provider Profile Details
NPI Number
1336189398
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
573-556-5747
Fax Number
573-636-9756
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CD6061 01 MO MEDICARE RAILROAD
CC7852 01 MO MEDICARE RAILROAD
CD6058 01 MO MEDICARE RAILROAD
CD6059 01 MO MEDICARE RAILROAD
CD6060 01 MO MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
1241 W Stadium Blvd
City
State
Zip
65109
Phone Number
573-556-5747
Fax Number
573-636-9756
person
Provider Business Mailing Address Details
Address
1241 W Stadium Blvd
City
State
Zip
65109
Phone Number
573-556-5747
Fax Number
573-636-9756
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
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Definition
Definition to come...
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