MID MISSOURI MEDICAL CONSULTANTS, INC.
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1740396035- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1111 MADISON ST, JEFFERSON CITY, MO, 651012753
- Phone
- (573) 635-7651
- Fax
- (573) 659-4515
Specialties & Taxonomies
Psychiatry & Neurology, Neurology
License: MO #R8638
Internal Medicine
Primary License: MO #R4N29