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Organization

CAPITAL REGION MEDICAL CENTER

Active
Other names
University Orthopaedics at Capital Region Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES R MCMILLAN (VP-FINANCE)
(573) 632-5100
Entity
Organization

Contact information

Practice address
1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2444
(573) 632-5582
(573) 632-5876
Mailing address
PO BOX 1128, JEFFERSON CITY, MO 65102-1128
(573) 632-5582
(573) 632-5876

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
03/20/2009
Last updated
03/20/2009
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