# JEFFERSON CITY MEDICAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JCMG Pain Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164830337
- **Authorized official:** JEFFRERY LEE PATRICK MD (PRESIDENT)
- **Authorized official phone:** (573) 635-5264

## Contact information

- **Practice address:** 1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
- **Practice address phone:** (573) 635-5264
- **Mailing address:** PO BOX 104240, JEFFERSON CITY, MO 65110-4240
- **Mailing address phone:** (573) 635-5264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 2002003282 | MO | Yes |

## Other

- **Enumeration date:** 07/31/2014
- **Last updated:** 12/26/2018