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Capital Region Resident Clinic
General Practice Physician in Jefferson City, Missouri
NPI 1649514050

Capital Region Resident Clinic is a General Practice Physician based in Jefferson City, MO. Capital Region Resident Clinic practices in Jefferson City, MO. The NPI Number for Capital Region Resident Clinic is 1649514050 and holds a License No. (Missouri).

The current practice location address for Capital Region Resident Clinic is 220 Madison St., Jefferson City, MO and can be reached out via phone at 573-632-4900 and via fax at 573-644-6650.

Location: 220 Madison St., Jefferson City, MO, 65101-2753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649514050
Provider Name
Capital Region Resident Clinic
Credential
Provider Entity Type
Organization
Address
220 Madison St., Jefferson City, MO, 65101-2753
Phone Number
573-632-4900
Fax Number
573-644-6650
Provider Enumeration Date
11/26/2012
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
220 Madison St.
City
Jefferson City
State
Missouri
Zip
65102
Phone Number
573-632-4900
Fax Number
573-644-6650
person
Provider Business Mailing Address Details
Address
220 Madison St.
City
Jefferson City
State
Missouri
Zip
65102
Phone Number
573-632-4900
Fax Number
573-644-6650
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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