Organization
CAPITAL CITY ANESTHESIA AND PERIOPERATIVE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY NELCAMP MD (PRES)
(573) 632-5841
Entity
Organization
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5841
Mailing address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5841
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192499
BLUE SHIELD
MO
01
—
DC7349
RR MEDICARE
MO
Enumeration date
06/18/2006
Last updated
10/06/2007
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