Jefferson City Medical Group, P.c.
NPI #1811292105 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1811292105
- Entity Type
- Organization
- Organization Name
- Jefferson City Medical Group, P.c.
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jan 18, 2011
- Last Updated
- Dec 26, 2018
Practice Location
- Address
- 1241 W STADIUM BLVD
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109-6023
- Phone
- (573) 556-5798
Authorized Official
- Name
- DR. JEFFREY LEE PATRICK, M.D.
- Title
- PRESIDENT
- Phone
- (573) 635-5264
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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