Capital Family Care | |
1500 Southwest Blvd Ste B Jefferson City MO 65109-2472 | |
(573) 635-6350 | |
(573) 635-9049 |
Full Name | Capital Family Care |
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Speciality | Family Medicine |
Location | 1500 Southwest Blvd Ste B, Jefferson City, Missouri |
Authorized Official Name and Position | Andrew Roudebush (CEO) |
Authorized Official Contact | 5736356350 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Capital Family Care 1500 Southwest Blvd Ste B Jefferson City MO 65109-2472 Ph: (573) 635-6350 | Capital Family Care 1500 Southwest Blvd Ste B Jefferson City MO 65109-2472 Ph: (573) 635-6350 |
NPI Number | 1780724922 |
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Provider Enumeration Date | 02/07/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780724922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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