Organization
JB MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY BRUGGEMAN MD (PRESIDENT)
(573) 289-0828
Entity
Organization
Contact information
Practice address
3706 TRIPLE CROWN DR, COLUMBIA, MO 65202-4847
(573) 874-5971
Mailing address
3706 TRIPLE CROWN DR, COLUMBIA, MO 65202-4847
(573) 874-5971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004011867
MO
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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