Organization · Type 2 NPI

Capital Region Medical Center

Hematology & Oncology Physician · Jefferson City, MO

NPI number 1932176591 Active

Practice location

1432 Southwest Blvd
Jefferson City, MO 65109

Call (573) 632-5482 Map

Fax (573) 632-5860

Mailing address

PO Box 1128
Jefferson City, MO 65012-1128

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed
Medical Oncology Physician 207RX0202XNone 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 1932176591

Capital Region Medical Center's National Provider Identifier is 1932176591, issued on Mar 2, 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 Aug 23, 2013.