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Covenant Pediatrics, Llc
Health Service Clinic/Center in Jefferson City, Missouri
NPI 1942911607

Covenant Pediatrics, Llc is a Health Service Clinic/Center based in Jefferson City, MO and is specialized in Health Service. Covenant Pediatrics, Llc practices in Jefferson City, MO. The NPI Number for Covenant Pediatrics, Llc is 1942911607 and holds a License No. (Missouri).

The current practice location address for Covenant Pediatrics, Llc is 2409 Hyde Park Rd, Jefferson City, MO and can be reached out via phone at 573-635-6217 and via fax at 573-635-6574.

Location: 2409 Hyde Park Rd, Jefferson City, MO, 65109-4732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942911607
Provider Name
Covenant Pediatrics, Llc
Credential
Provider Entity Type
Organization
Address
2409 Hyde Park Rd, Jefferson City, MO, 65109-4732
Phone Number
573-635-6217
Fax Number
573-635-6574
Provider Enumeration Date
12/13/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2409 Hyde Park Rd
City
Jefferson City
State
Missouri
Zip
65109-4732
Phone Number
573-635-6217
Fax Number
573-635-6574
person
Provider Business Mailing Address Details
Address
2409 Hyde Park Rd
City
Jefferson City
State
Missouri
Zip
65109-4732
Phone Number
573-635-6217
Fax Number
573-635-6574
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
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Definition
Definition to come...
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