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Jefferson City Medical Group, P.c.
Durable Medical Equipment & Medical Supplies in Jefferson City, Missouri
NPI 1871549345

Jefferson City Medical Group, P.c. is a Durable Medical Equipment & Medical Supplies based in Jefferson City, MO. Jefferson City Medical Group, P.c. practices in Jefferson City, MO. The NPI Number for Jefferson City Medical Group, P.c. is 1871549345 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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871549345
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
05/26/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
506292002 05 MO
0428190006 01 MO DMERC/NORIDIAN
CC7852 01 MO MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
1241 W Stadium Blvd
City
Jefferson City
State
Missouri
Zip
65109-6023
Phone Number
573-556-5747
Fax Number
573-636-9756
person
Provider Business Mailing Address Details
Address
Po Box 104240
City
Jefferson City
State
Missouri
Zip
65110-4240
Phone Number
573-635-5264
Fax Number
573-636-9756
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
()
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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