institution
Cmmp Surgical Center Llc
Ambulatory Surgical Clinic/Center in Jefferson City, Missouri
NPI 1528060704

Cmmp Surgical Center Llc is an Ambulatory Surgical Clinic/Center based in Jefferson City, MO and is specialized in Ambulatory Surgical. Cmmp Surgical Center Llc practices in Jefferson City, MO. The NPI Number for Cmmp Surgical Center Llc is 1528060704 and holds a License No. 95-6 (Missouri).

The current practice location address for Cmmp Surgical Center Llc is 1705 Christy Dr, Jefferson City, MO and can be reached out via phone at 573-635-7022 and via fax at 573-659-5443.

Location: 1705 Christy Dr, Jefferson City, MO, 65101-5195
institution
Provider Profile Details
NPI Number
1528060704
Provider Name
Cmmp Surgical Center Llc
Credential
Provider Entity Type
Organization
Address
1705 Christy Dr, Jefferson City, MO, 65101-5195
Phone Number
573-635-7022
Fax Number
573-659-5443
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
537147 01 MO HEALTHLINK PROV NUMBER
6800140 01 MO UNITED HLTH CARE PROV NUM
37 01 MO BCBS OF MO PROV NUMBER
institution
Provider Business Practice Location Address Details
Address
1705 Christy Dr
City
State
Zip
65101-5195
Phone Number
573-635-7022
Fax Number
573-659-5443
person
Provider Business Mailing Address Details
Address
1705 Christy Dr
City
State
Zip
65101-5195
Phone Number
573-635-7022
Fax Number
573-659-5443
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
95-6 (Missouri)
Definition
Definition to come...
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