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Organization

PRIMARY CARE MEDICINE PC

Active
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Organization

PRIMARY CARE MEDICINE PC

Active
Other names
Kenneth E Schafermeyer Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH ERICH SCHAFERMEYER DO (PRESIDENT)
(573) 635-2141
Entity
Organization

Contact information

Practice address
2709 INDUSTRIAL DR STE A, JEFFERSON CITY, MO 65109-0769
(573) 635-2141
(573) 635-5240
Mailing address
2709 INDUSTRIAL DR STE A, JEFFERSON CITY, MO 65109-0769
(573) 635-2141
(573) 635-5240

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO106076
MO
207Q00000X
Family Medicine Physician
DO33555
MO
207Q00000X
Family Medicine Physician
Primary
R8652
MO

Other

Enumeration date
01/08/2007
Last updated
10/23/2008
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