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Organization
JEFFERSON CITY MEDICAL GROUP, PC
Active
Organization
JEFFERSON CITY MEDICAL GROUP, PC
Active
Other names
JCMG Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRERY LEE PATRICK MD (PRESIDENT)
(573) 635-5264
Entity
Organization
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2002003282
MO
Other
Enumeration date
07/31/2014
Last updated
12/26/2018
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