Organization
MISSOURI VEIN CARE, LLC
Active
Other names
Heart, Lung, Circulation Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER THOMPSON (OPERATIONS MANAGER)
(573) 632-2780
Entity
Organization
Contact information
Practice address
1620 SOUTHRIDGE DR STE B, JEFFERSON CITY, MO 65109-4005
(573) 632-2780
(573) 632-2784
Mailing address
1620 SOUTHRIDGE DR STE B, JEFFERSON CITY, MO 65109-4005
(573) 632-2780
(573) 632-2784
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50-6126507
—
MO
Enumeration date
06/28/2005
Last updated
09/12/2018
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