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2511 W Edgewood Dr Ste F Jefferson City MO 65109-5869 | |
(573) 761-7979 | |
(573) 761-0445 |
Full Name | |
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Speciality | Family Medicine |
Location | 2511 W Edgewood Dr Ste F, Jefferson City, Missouri |
Authorized Official Name and Position | Garrick Elliott Mueller (CFO) |
Authorized Official Contact | 4052807582 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1027 Jefferson City MO 65102-1027 Ph: (573) 681-3767 | 2511 W Edgewood Dr Ste F Jefferson City MO 65109-5869 Ph: (573) 761-7979 |
NPI Number | 1669856829 |
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Provider Enumeration Date | 07/16/2015 |
Last Update Date | 09/14/2020 |
Identifier | Type | State | Issuer |
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1669856829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Missouri) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
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Innovative Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3218 W Edgewood Dr, Ste 500, Jefferson City, MO 65109 Phone: 949-696-6157 | |
Jefferson City Medical Group, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1735 Elm Ct, Jefferson City, MO 65101 Phone: 573-634-4878 |