Organization · Type 2 NPI

Capital Region Medical Center

Diagnostic Radiology Physician · Jefferson City, MO

NPI number 1700043791 Active

Practice location

1125 Madison St
Jefferson City, MO 65102-5227

Fax (573) 632-5876

Mailing address

PO Box 1128
Jefferson City, MO 65102-1128

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

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

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About NPI 1700043791

Capital Region Medical Center's National Provider Identifier is 1700043791, issued on May 19, 2008. 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 Aug 23, 2013.