| Ssm Health Medical Group - Family Medicine | |
|
2511 W Edgewood Dr Ste F Jefferson City MO 65109-5869 | |
| (573) 761-7979 | |
| (573) 761-0445 |
| Full Name | Ssm Health Medical Group - Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2511 W Edgewood Dr Ste F, Jefferson City, Missouri |
| Authorized Official Name and Position | Garrick Elliott Mueller (CFO) |
| Authorized Official Contact | 4052807582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Health Medical Group - Family Medicine Po Box 1027 Jefferson City MO 65102-1027 Ph: (573) 681-3767 | Ssm Health Medical Group - Family Medicine 2511 W Edgewood Dr Ste F Jefferson City MO 65109-5869 Ph: (573) 761-7979 |
| NPI Number | 1669856829 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 09/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669856829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Missouri) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
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