Jackson Primary Care LLC

NPI #1619961380 in Jackson, Missouri

Provider Information

NPI Number: 1619961380
Entity Type: Organization
Organization Name: Jackson Primary Care LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 8, 2005
Last Updated: Oct 26, 2010

Practice Location

Address: 2685 E MAIN ST SUITE A
Address 2: STE A
City: Jackson
State: Missouri
ZIP Code: 63755
Phone: (573) 204-1400

Authorized Official

Name: DR. DEANNA M SIEMER, MD
Title: OWNER
Phone: (573) 204-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Clinic/Center - Rural Health — Rural Health	261QR1300X
Family Medicine	207Q00000X	Primary

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