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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FAMILY MEDICINE OF JEFFERSON CITY, LLC

Active Organization

FAMILY MEDICINE OF JEFFERSON CITY, LLC is a Family Medicine organization located in JEFFERSON CITY, Missouri. NPI 1043319957 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · JEFFERSON CITY, MO

Registration Details

NPI Number
1043319957
Provider Type
Organization
NPI Issued
Sep 21, 2006 (19.886869983416 yrs)
Last Updated
Aug 22, 2020
License
R9J28 (MO)

Practice Information

Address
1616 SOUTHRIDGE DR
SUITE #203
JEFFERSON CITY, MO, 651095677
Browse MO providers · Browse ZIP 65109
Phone
5736597300
Fax
5736360555
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.