Organization · Type 2 NPI
Capital Region Resident Clinic
General Practice Physician · Jefferson City, MO
NPI number
1649514050
Active
Practice location
220 Madison St.
Jefferson City, MO 65102
Fax (573) 644-6650
Mailing address
1111 Madison St
Jefferson City, MO 65101-2753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Jefferson City
About NPI 1649514050
Capital Region Resident Clinic's National Provider Identifier is 1649514050, issued on Nov 26, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Jefferson City, MO. The record was last updated on Jun 10, 2014.