Jefferson City Medical Group, P.C. in Jefferson City - Dermatology
Jefferson City Medical Group, P.C. - NPI 1972668903
Jefferson City Medical Group, P.C. is a Dermatology in Jefferson City, Missouri. Jefferson City Medical Group, P.C. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jefferson City Medical Group, P.C. is 1972668903. The last update date is 2018-12-26.
Jefferson City Medical Group, P.C.'s current location address is 1241 W Stadium Blvd, Jefferson City, Missouri. You can contact this provider via phone number 5736355264. The mailing address for Jefferson City Medical Group, P.C. is 1241 W Stadium Blvd, Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Jefferson City Medical Group, P.C. |
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Address | 1241 W Stadium Blvd, Jefferson City, Missouri |
Phone Number | 5736355264 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Patrick Lee Jeffrey |
Credentials | M.D. |
Telephone Number | 5736355264 |
NPI Number Detail
NPI Number | 1972668903 |
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Provider Enumeration Date | 2006-12-27 |
Last Updated Date | 2018-12-26 |
Provider Mailing Address Detail
Address | 1241 W Stadium Blvd |
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City | Jefferson City |
State | Missouri (MO) |
Post Code | 651096023 |
Phone Number | 5736355264 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dermatology |
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Taxonomy | 207N00000X |
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
CD6059 | MO | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the Jefferson City Medical Group, P.C.'s 1972668903?
The Jefferson City Medical Group, P.C.'s NPI (National Provider Identifier) Number is 1972668903. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jefferson City Medical Group, P.C. is geographically located?
The Jefferson City Medical Group, P.C. is physically situated at the following location: 1241 W Stadium Blvd, Jefferson City, MO, 651096023.
What is Jefferson City Medical Group, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jefferson City Medical Group, P.C.'s specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972668903 to Jefferson City Medical Group, P.C.?
The Jefferson City Medical Group, P.C. received its 1972668903 assignment from the Centers for Medicare & Medicaid Services on 2006-12-27.
When was the information related to Jefferson City Medical Group, P.C. most recently updated or refreshed?
The details pertaining to the Jefferson City Medical Group, P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2018-12-26.