Organization · Type 2 NPI

Jefferson City Medical Group, P.c.

Diagnostic Radiology Physician · Jefferson City, MO

NPI number 1508806563 Active

Practice location

1241 W Stadium Blvd, Lower Level
Jefferson City, MO 65109-6023

Call (573) 556-5747 Map

Fax (573) 636-9756

Mailing address

PO Box 104240
Jefferson City, MO 65110-4240

Specialties and licenses

Taxonomy	Code	License
Nuclear Radiology Physician	2085N0904X	None listed
Diagnostic Radiology Physician Primary	2085R0202X	None listed
Diagnostic Ultrasound Physician	2085U0001X	None listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

139 other providers at this address

Other diagnostic radiology physician providers in Jefferson City

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NPI record

NPI: 1508806563
Entity type: Organization (Type 2)
Issued: Jun 7, 2006
Last updated: May 9, 2023
Status: Active

Other names

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Jefferson City Radiologists · doing business as
Jefferson City Radiologists · doing business as

Authorized official

Dr. Jeffrey Lee Patrick, MD
President
(573) 635-5264

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About NPI 1508806563

Jefferson City Medical Group, P.c.'s National Provider Identifier is 1508806563, issued on Jun 7, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jefferson City, MO. The record was last updated on May 9, 2023.