Capital Region Physicians - Miller Clinic | |
1705 Christy Dr Suite 201 Jefferson City MO 65101-5195 | |
(573) 635-0621 | |
(573) 635-3534 |
Full Name | Capital Region Physicians - Miller Clinic |
---|---|
Speciality | Family Medicine |
Location | 1705 Christy Dr, Jefferson City, Missouri |
Authorized Official Name and Position | Tom Luebbering (VICE PRESIDENT 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 - Miller Clinic 1705 Christy Dr Suite 201 Jefferson City MO 65101-5195 Ph: (573) 635-0621 | Capital Region Physicians - Miller Clinic 1705 Christy Dr Suite 201 Jefferson City MO 65101-5195 Ph: (573) 635-0621 |
NPI Number | 1255762852 |
---|---|
Provider Enumeration Date | 12/06/2013 |
Last Update Date | 12/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255762852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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