JEFFERSON CITY MEDICAL GROUP, PC
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1346513207- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 5816 OSAGE BEACH PKWY STE 105, OSAGE BEACH, MO, 650653046
- Phone
- (573) 348-3001
- Fax
- (573) 348-5998
Specialties & Taxonomies
Internal Medicine
Primary License: MO #R8640