Jefferson City Medical Group, PC

NPI #1396135984 in Jefferson City, Missouri

Provider Information

NPI Number: 1396135984
Entity Type: Organization
Organization Name: Jefferson City Medical Group, PC
Primary Specialty: Anesthesiology
Enumeration Date: Feb 3, 2015
Last Updated: Dec 26, 2018

Practice Location

Address: 1241 W STADIUM BLVD
City: Jefferson City
State: Missouri
ZIP Code: 65109-6023
Phone: (573) 635-5264

Authorized Official

Name: DR. JEFFREY LEE PATRICK, MD
Title: PRESIDENT
Phone: (573) 635-5264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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