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Organization
JEFFERSON CITY MEDICAL GROUP, P.C.
Active
Organization
JEFFERSON CITY MEDICAL GROUP, P.C.
Active
Other names
Thomas J. Folz, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEE PATRICK M.D. (PRESIDENT)
(573) 635-5264
Entity
Organization
Contact information
Practice address
1225 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 556-7725
(573) 761-3596
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015437
MEDICARE
MO
01
—
CD6060
MEDICARE RAILROAD
MO
Enumeration date
12/27/2006
Last updated
12/26/2018
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