Organization
CAPITAL CITY ANESTHESIA AND PERIOPERATIVE PHYSICIANS, LLC
Active
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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