Capital Region Medical Center

NPI #1770763716 in Jefferson City, Missouri

Provider Information

NPI Number
1770763716
Entity Type
Organization
Organization Name
Capital Region Medical Center
Primary Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date
Nov 7, 2007
Last Updated
Nov 16, 2007

Practice Location

Address
1125 MADISON ST
ZIP Code
65101-5227
Phone
(573) 632-5550

Authorized Official

Name
JAMES R MCMILLAN
Title
VP-FINANCE
Phone
(573) 632-5100

Specialties & Taxonomy Codes

Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)

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