Capital Region Medical Center
NPI #1124091285 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1124091285
- Entity Type
- Organization
- Organization Name
- Capital Region Medical Center
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 9, 2006
- Last Updated
- Aug 23, 2013
Practice Location
- Address
- 1500 SOUTHWEST BLVD
- Address 2
- STE D
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109
- Phone
- (573) 632-5780
Authorized Official
- Name
- TOM LUEBBERING
- Title
- VP OF FINANCE
- Phone
- (573) 632-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Family Medicine |
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