Organization · Type 2 NPI

Jefferson City Medical Group, P.c.

Hematology & Oncology Physician · Jefferson City, MO

NPI number 1215093257 Active

Practice location

1241 W Stadium Blvd, Second Floor, Suite 2300
Jefferson City, MO 65109-6023

Mailing address

PO Box 104240
Jefferson City, MO 65110-4240

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1215093257

Jefferson City Medical Group, P.c.'s National Provider Identifier is 1215093257, issued on Dec 27, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Jefferson City, MO. The record was last updated on Dec 26, 2018.