| Capital Region Physicians - Family Medical Center | |
|
420 E High St Jefferson City MO 65101-3215 | |
| (573) 635-0916 | |
| (573) 635-8812 |
| Full Name | Capital Region Physicians - Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 420 E High St, Jefferson City, Missouri |
| Authorized Official Name and Position | Tom Luebbering (VP OF FINANCE) |
| Authorized Official Contact | 5736325100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Region Physicians - Family Medical Center 420 E High St Jefferson City MO 65101-3215 Ph: (573) 635-0916 | Capital Region Physicians - Family Medical Center 420 E High St Jefferson City MO 65101-3215 Ph: (573) 635-0916 |
| NPI Number | 1104001676 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 08/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104001676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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