Individual
DR. JOHN F. SANFELIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1241 WEST STADIUM BOULEVARD, JEFFERSON CITY, MO 65109
(573) 635-5264
(573) 761-4611
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 761-4611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R5124
MO
207RC0000X
Cardiovascular Disease Physician
Primary
R5124
MO
207RI0011X
Interventional Cardiology Physician
R5124
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110069318
MEDICARE RAILROAD
MO
01
—
145295
HLTH
MO
05
—
200560811
—
MO
01
—
26681
BCBS
MO
01
—
CP9089
RAILROAD GROUP
MO
Enumeration date
12/06/2005
Last updated
08/07/2008
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