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3308 W Edgewood Suite B Jefferson City MO 65109 | |
(573) 644-6999 | |
(573) 644-7880 |
Full Name | |
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Speciality | Family Medicine |
Location | 3308 W Edgewood, 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 |
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Po Box 1128 Jefferson City MO 65102-1128 Ph: (573) 644-6999 | 3308 W Edgewood Suite B Jefferson City MO 65109 Ph: (573) 644-6999 |
NPI Number | 1679701296 |
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Provider Enumeration Date | 06/23/2009 |
Last Update Date | 08/21/2014 |
Identifier | Type | State | Issuer |
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1679701296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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