Jefferson City Medical Group, PC
NPI #1710400221 in California, Missouri
Provider Information
- NPI Number
- 1710400221
- Entity Type
- Organization
- Organization Name
- Jefferson City Medical Group, PC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jul 18, 2017
- Last Updated
- Mar 29, 2019
Practice Location
- Address
- 606 E BUCHANAN ST
- City
- California
- State
- Missouri
- ZIP Code
- 65018-1910
- Phone
- (573) 796-3600
Authorized Official
- Name
- MRS. MELISSA G ASTIN
- Title
- VICE PRESIDENT OF OPERATIONS
- Phone
- (573) 556-7774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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