Organization · Type 2 NPI

Innovative Medical Clinic

Multi-Specialty Clinic/Center · Jefferson City, MO

NPI number 1063290260 Active

Practice location

3218 W Edgewood Dr, Ste 500
Jefferson City, MO 65109

Call (949) 696-6157 Map

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed
Primary Care Clinic/Center 261QP2300XNone listed
Urgent Care Clinic/Center 261QU0200XNone listed

Multi-Specialty Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1063290260

Innovative Medical Clinic's National Provider Identifier is 1063290260, issued on Sep 19, 2023. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Jefferson City, MO. The record was last updated on Sep 21, 2023.