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Organization
JEFFERSON CITY MEDICAL GROUP, P.C.
Active
Organization
JEFFERSON CITY MEDICAL GROUP, P.C.
Active
Other names
Fulton Express Care
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY PATRICK M.D (PRESIDENT)
(573) 635-5264
Entity
Organization
Contact information
Practice address
350 COUNTRY MEADOW LN, FULTON, MO 65251-5278
(736) 344-8785
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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