Capital Region Medical Center
NPI #1942358866 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1942358866
- Entity Type
- Organization
- Organization Name
- Capital Region Medical Center
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Aug 23, 2013
Practice Location
- Address
- 1500 SOUTHWEST BLVD
- Address 2
- SUITE B
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109-2472
- Phone
- (573) 635-6350
Authorized Official
- Name
- TOM LUEBBERING
- Title
- VP OF FINANCE
- Phone
- (573) 632-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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