Organization
JEFFERSON CITY MEDICAL GROUP, PC
Active
Other names
JCMG Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRERY LEE PATRICK MD (PRESIDENT)
(573) 635-5264
Entity
Organization
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2002003282
MO
Other
Enumeration date
07/31/2014
Last updated
12/26/2018
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