Missouri Vein Care, LLC

NPI #1174529739 in Jefferson City, Missouri

Provider Information

NPI Number: 1174529739
Entity Type: Organization
Organization Name: Missouri Vein Care, LLC
Primary Specialty: Phlebology
Enumeration Date: Jun 28, 2005
Last Updated: Sep 12, 2018

Practice Location

Address: 1620 SOUTHRIDGE DR STE B
City: Jefferson City
State: Missouri
ZIP Code: 65109-4005
Phone: (573) 632-2780

Authorized Official

Name: AMBER THOMPSON
Title: OPERATIONS MANAGER
Phone: (573) 632-2780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Phlebology	202K00000X	Primary

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