Organization · Type 2 NPI

Jefferson City Medical Group, PC

Multi-Specialty Clinic/Center · Jefferson City, MO

NPI number 1457763633 Active

Practice location

1241 W Stadium Blvd
Jefferson City, MO 65109-6023

Mailing address

PO Box 104240
Jefferson City, MO 65110-4240

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

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

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About NPI 1457763633

Jefferson City Medical Group, PC's National Provider Identifier is 1457763633, issued on May 22, 2014. 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 Dec 26, 2018.