| Capital Region Physicians - Ccma | |
|
1505 Southwest Blvd Jefferson City MO 65109-2431 | |
| (573) 634-2620 | |
| (573) 634-2033 |
| Full Name | Capital Region Physicians - Ccma |
|---|---|
| Speciality | Internal Medicine |
| Location | 1505 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 - Ccma Po Box 1128 Jefferson City MO 65102-1128 Ph: (573) 634-2620 | Capital Region Physicians - Ccma 1505 Southwest Blvd Jefferson City MO 65109-2431 Ph: (573) 634-2620 |
| NPI Number | 1447418264 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 08/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447418264 | NPI | - | NPPES |
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