| Jefferson City Medical Group, Pc | |
|
5816 Osage Beach Pkwy Ste 105 Osage Beach MO 65065-3046 | |
| (573) 348-3001 | |
| (573) 348-5998 |
| Full Name | Jefferson City Medical Group, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5816 Osage Beach Pkwy Ste 105, Osage Beach, Missouri |
| Authorized Official Name and Position | Jeffrey Lee Patrick (PRESIDENT) |
| Authorized Official Contact | 5736355264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson City Medical Group, Pc Po Box 104240 Jefferson City MO 65110-4240 Ph: (573) 635-5264 | Jefferson City Medical Group, Pc 5816 Osage Beach Pkwy Ste 105 Osage Beach MO 65065-3046 Ph: (573) 348-3001 |
| NPI Number | 1346513207 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 12/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346513207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R8640 (Missouri) | Primary |
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