Organization · Type 2 NPI
Jefferson Medical Group
Rural Health Clinic/Center · Brunswick, MO
NPI number
1104432806
Active
Practice location
807 E Broadway St
Brunswick, MO 65236-1468
Mailing address
1502 N Jefferson St
Carrollton, MO 64633-1948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
Other rural health clinic/center providers in Brunswick
About NPI 1104432806
Jefferson Medical Group's National Provider Identifier is 1104432806, issued on Sep 17, 2020. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Brunswick, MO. The record was last updated on May 12, 2025.