Capital City Medical Associates, PC
Internal Medicine in Jefferson City, MO. Organization (NPI-2).
NPI number1639129232
StatusActive
Last updated in NPPESJan 8, 2008
Details
- NPI
- 1639129232
- Entity type
- Organization (NPI-2)
- Legal business name
- Capital City Medical Associates, PC
- Organization subpart
- No
- Enumeration date
- May 12, 2006
- Last updated
- Jan 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | MO | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | MO | |
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | – | MO | |
| 207RG0100X | Internal Medicine, Gastroenterology | – | MO | |
| 207RN0300X | Internal Medicine, Nephrology | – | MO | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | MO | |
| 207RR0500X | Internal Medicine, Rheumatology | – | MO | |
| 208600000X | Surgery | – | MO | |
| 207RS0012X | Internal Medicine, Sleep Medicine | 111467 | MO |
Practice location
1505 Southwest BlvdJefferson City, MO 65109-2431
Phone 573-634-2620 · Fax 573-761-1863
Mailing address
1505 Southwest BlvdJefferson City, MO 65109-2431
Phone 573-634-2620 · Fax 573-761-1863
Authorized official
Rachel J Kempker
Data Processing Manager
5736342620
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