Capital Region Medical Center
NPI #1255762852 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1255762852
- Entity Type
- Organization
- Organization Name
- Capital Region Medical Center
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 6, 2013
- Last Updated
- Dec 6, 2013
Practice Location
- Address
- 1705 CHRISTY DR
- Address 2
- SUITE 201
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65101-5195
- Phone
- (573) 635-0621
Authorized Official
- Name
- TOM LUEBBERING
- Title
- VICE PRESIDENT OF FINANCE
- Phone
- (573) 632-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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