Organization · Type 2 NPI
Covenant Pediatrics, LLC
Health Service Clinic/Center · Jefferson City, MO
NPI number
1942911607
Active
Practice location
2409 Hyde Park Rd
Jefferson City, MO 65109-4732
Fax (573) 635-6574
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1942911607
Covenant Pediatrics, LLC's National Provider Identifier is 1942911607, issued on Dec 13, 2022. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Jefferson City, MO. The record was last updated on Dec 13, 2022.