| Capital Region Physicians - Neurology | |
|
1125 Madison St Jefferson City MO 65101-5227 | |
| (573) 632-5666 | |
| (573) 632-5859 |
| Full Name | Capital Region Physicians - Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1125 Madison St, Jefferson City, Missouri |
| Authorized Official Name and Position | Tom Luebbering (VP OF FINANCE) |
| Authorized Official Contact | 5736325100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Region Physicians - Neurology Po Box 1128 Jefferson City MO 65102-1128 Ph: (573) 632-5666 | Capital Region Physicians - Neurology 1125 Madison St Jefferson City MO 65101-5227 Ph: (573) 632-5666 |
| NPI Number | 1033399076 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 08/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033399076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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