| Capital Region Physicians - Mmmc | |
|
1125 Madison St Jefferson City MO 65101-5227 | |
| (573) 635-7651 | |
| (573) 659-4515 |
| Full Name | Capital Region Physicians - Mmmc |
|---|---|
| Speciality | Clinic/center |
| 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 - Mmmc Po Box 1128 Jefferson City MO 65102-1128 Ph: (573) 635-7651 | Capital Region Physicians - Mmmc 1125 Madison St Jefferson City MO 65101-5227 Ph: (573) 635-7651 |
| NPI Number | 1770804734 |
|---|---|
| Provider Enumeration Date | 06/14/2010 |
| Last Update Date | 08/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770804734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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