# JEFFERSON CITY MEDICAL GROUP, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Express Care- Elm Court
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104645274
- **Authorized official:** DR. JEFFREY PATRICK M.D. (PRESIDENT)
- **Authorized official phone:** (573) 635-5264

## Contact information

- **Practice address:** 1735 ELM CT, JEFFERSON CITY, MO 65101-4129
- **Practice address phone:** (573) 634-4878
- **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 | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 10/07/2024
- **Last updated:** 10/07/2024