| Capital Region Physicians - Capital Family Care | |
|
1500 Southwest Blvd Suite B Jefferson City MO 65109-2472 | |
| (573) 635-6350 | |
| (573) 635-9049 |
| Full Name | Capital Region Physicians - Capital Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1500 Southwest Blvd, 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 - Capital Family Care 1500 Southwest Blvd Suite B Jefferson City MO 65109-2472 Ph: (573) 635-6350 | Capital Region Physicians - Capital Family Care 1500 Southwest Blvd Suite B Jefferson City MO 65109-2472 Ph: (573) 635-6350 |
| NPI Number | 1942358866 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942358866 | NPI | - | NPPES |
| 206009703 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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