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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