Organization
CAPITAL REGION MEDICAL CENTER
Active
Other names
Capital Region Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
TOM LUEBBERING (VICE PRESIDENT OF FINANCE)
(573) 632-5100
Entity
Organization
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5583
(573) 632-5896
Mailing address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5583
(573) 632-5896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
10/01/2013
Last updated
07/29/2020
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