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Jefferson City Medical Group, P.c.
Gynecology Physician in Jefferson City, Missouri
NPI 1467518423

Jefferson City Medical Group, P.c. is a Gynecology Physician based in Jefferson City, MO and is specialized in Gynecology. Jefferson City Medical Group, P.c. practices in Jefferson City, MO. The NPI Number for Jefferson City Medical Group, P.c. is 1467518423 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 573-556-7717 and via fax at 573-556-1717. 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: 573-556-7717).

Location: 1241 W Stadium Blvd, Jefferson City, MO, 65110-4240
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Provider Profile Details
NPI Number
1467518423
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
573-556-7717
Fax Number
573-556-1717
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
507560001 05 MO
CC7852 01 MO MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
1241 W Stadium Blvd
City
State
Zip
65109-6023
Phone Number
573-556-7717
Fax Number
573-556-1717
person
Provider Business Mailing Address Details
Address
1241 W Stadium Blvd
City
State
Zip
65109-6023
Phone Number
573-556-7717
Fax Number
573-556-1717
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
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Definition
Definition to come...
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