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Organization
JEFFERSON CITY MEDICAL GROUP-P C
Active
Organization
JEFFERSON CITY MEDICAL GROUP-P C
Active
Other names
Missouri Valley Physicians A Division of JCMG
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LEE PATRICK MD (PRESIDENT)
(573) 635-5264
Entity
Organization
Contact information
Practice address
2303 S HIGHWAY 65 STE A, MARSHALL, MO 65340-3735
(660) 886-3364
(660) 886-6044
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 556-5757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
10/17/2014
Last updated
12/26/2018
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