Organization
JEFFERSON CITY MEDICAL GROUP, PC
Active
Other names
JCMG Family Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEE PATRICK MD (PRESIDENT)
(573) 635-5264
Entity
Organization
Contact information
Practice address
606 E BUCHANAN ST, CALIFORNIA, MO 65018-1910
(573) 796-3600
(573) 796-7251
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36976
MO
Other
Enumeration date
12/14/2007
Last updated
12/26/2018
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