# ASSOCIATED FAMILY PHYSICIANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366425340
- **Authorized official:** MICHELLE SPORLEDER (OFFICE MANAGER)
- **Authorized official phone:** (573) 761-7979

## Contact information

- **Practice address:** 3527 W TRUMAN BLVD, SUITE 100, JEFFERSON CITY, MO 65109-5715
- **Practice address phone:** (573) 761-7979
- **Practice address fax:** (573) 761-5515
- **Mailing address:** 3527 W TRUMAN BLVD, SUITE 100, JEFFERSON CITY, MO 65109-5715
- **Mailing address phone:** (573) 761-7979
- **Mailing address fax:** (573) 761-5515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/23/2005
- **Last updated:** 10/05/2007