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Organization

JEFFERSON MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLEY DELANEY (CHIEF FINANCIAL OFFICER)
(660) 542-1695
Entity
Organization

Contact information

Practice address
807 E BROADWAY ST, BRUNSWICK, MO 65236-1468
(660) 542-1695
Mailing address
1502 N JEFFERSON ST, CARROLLTON, MO 64633-1948
(660) 542-1695

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
09/17/2020
Last updated
05/12/2025
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