Jefferson City Medical Group, P.C.
Family Medicine in Jefferson City, MO. Organization (NPI-2).
NPI number1104645274
StatusActive
Last updated in NPPESOct 7, 2024
Details
- NPI
- 1104645274
- Entity type
- Organization (NPI-2)
- Legal business name
- Jefferson City Medical Group, P.C.
- Organization subpart
- No
- Enumeration date
- Oct 7, 2024
- Certification date
- Oct 7, 2024
- Last updated
- Oct 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Express Care- Elm Court (Doing Business As)
Practice location
1735 Elm CtJefferson City, MO 65101-4129
Phone 573-634-4878
Mailing address
Po Box 104240Jefferson City, MO 65110-4240
Phone 573-635-5246
Authorized official
Jeffrey Patrick
President
5736355264
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