Organization
JEFFERSON CITY MEDICAL GROUP, PC
Active
Organization
JEFFERSON CITY MEDICAL GROUP, PC
Active
Other names
JCMG at the Lake
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEE PATRICK MD (PRESIDENT)
(573) 635-5264
Entity
Organization
Contact information
Practice address
5816 OSAGE BEACH PKWY STE 105, OSAGE BEACH, MO 65065-3046
(573) 348-3001
(573) 348-5998
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R8640
MO
Other
Enumeration date
02/22/2012
Last updated
12/26/2018
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