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Premise Health Of Missouri Medical P C
Primary Care Clinic/Center in Jefferson City, Missouri
NPI 1629372388

Premise Health Of Missouri Medical P C is a Primary Care Clinic/Center based in Brentwood, MO and is specialized in Primary Care. Premise Health Of Missouri Medical P C practices in Jefferson City, MO. The NPI Number for Premise Health Of Missouri Medical P C is 1629372388 and holds a License No. (Missouri).

The current practice location address for Premise Health Of Missouri Medical P C is 6336 Algoa Rd Ste 200, Jefferson City, MO and can be reached out via phone at 573-632-1321 and via fax at 573-632-1331.

Location: 6336 Algoa Rd Ste 200, Jefferson City, MO, 37027-4993
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629372388
Provider Name
Premise Health Of Missouri Medical P C
Credential
Provider Entity Type
Organization
Address
6336 Algoa Rd Ste 200, Jefferson City, MO, 37027-4993
Phone Number
573-632-1321
Fax Number
573-632-1331
Provider Enumeration Date
01/10/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6336 Algoa Rd Ste 200
City
Jefferson City
State
Missouri
Zip
65101-9877
Phone Number
573-632-1321
Fax Number
573-632-1331
person
Provider Business Mailing Address Details
Address
6336 Algoa Rd Ste 200
City
Jefferson City
State
Missouri
Zip
65101-9877
Phone Number
573-632-1321
Fax Number
573-632-1331
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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