| Jb Medical, Pc | |
|
3706 Triple Crown Dr Columbia MO 65202-4847 | |
| (573) 874-5971 | |
| Not Available |
| Full Name | Jb Medical, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3706 Triple Crown Dr, Columbia, Missouri |
| Authorized Official Name and Position | Jerry Bruggeman (PRESIDENT) |
| Authorized Official Contact | 5732890828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jb Medical, Pc 3706 Triple Crown Dr Columbia MO 65202-4847 Ph: (573) 874-5971 | Jb Medical, Pc 3706 Triple Crown Dr Columbia MO 65202-4847 Ph: (573) 874-5971 |
| NPI Number | 1174557193 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174557193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2004011867 (Missouri) | Primary |
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