# JEFFERSON CITY MEDICAL GROUP, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thomas J. Folz, M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396801353
- **Authorized official:** DR. JEFFREY LEE PATRICK M.D. (PRESIDENT)
- **Authorized official phone:** (573) 635-5264

## Contact information

- **Practice address:** 1225 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
- **Practice address phone:** (573) 556-7725
- **Practice address fax:** (573) 761-3596
- **Mailing address:** PO BOX 104240, JEFFERSON CITY, MO 65110-4240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 12/26/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000015437 | MEDICARE | MO |
| 01 | — | CD6060 | MEDICARE RAILROAD | MO |