# JEFFERSON CITY MEDICAL GROUP, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Care Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083661615
- **Authorized official:** DR. JEFFREY LEE PATRICK M.D. (PRESIDENT)
- **Authorized official phone:** (573) 635-5264

## Contact information

- **Practice address:** 1306 E MAIN ST, LINN, MO 65051-2503
- **Practice address phone:** (573) 897-2202
- **Practice address fax:** (573) 897-3157
- **Mailing address:** 1306 E MAIN ST, LINN, MO 65051-2503
- **Mailing address phone:** (573) 897-2202
- **Mailing address fax:** (573) 897-3157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 12/26/2018