Jefferson City Medical Group, P.c.

NPI #1528005212 in Jefferson City, Missouri

Provider Information

NPI Number: 1528005212
Entity Type: Organization
Organization Name: Jefferson City Medical Group, P.c.
Primary Specialty: Surgery
Enumeration Date: Jun 1, 2006
Last Updated: May 9, 2023

Practice Location

Address: 1241 W STADIUM BLVD
Address 2: SUITE 2016
City: Jefferson City
State: Missouri
ZIP Code: 65109-6023
Phone: (573) 556-5747

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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