# JEFFERSON CITY MEDICAL GROUP, PC

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

## Provider details

- **NPI number:** 1083897862
- **Authorized official:** DR. JEFFREY LEE PATRICK MD (PRESIDENT)
- **Authorized official phone:** (573) 635-5264

## Contact information

- **Practice address:** 606 E BUCHANAN ST, CALIFORNIA, MO 65018-1910
- **Practice address phone:** (573) 796-3600
- **Practice address fax:** (573) 796-7251
- **Mailing address:** PO BOX 104240, JEFFERSON CITY, MO 65110-4240
- **Mailing address phone:** (573) 635-5246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 36976 | MO | Yes |

## Other

- **Enumeration date:** 12/14/2007
- **Last updated:** 12/26/2018