Organization
CAPITAL CITY MEDICAL ASSOCIATES, PC
Active
Organization
CAPITAL CITY MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL J KEMPKER (DATA PROCESSING MANAGER)
(573) 634-2620
Entity
Organization
Contact information
Practice address
1505 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2431
(573) 634-2620
(573) 761-1863
Mailing address
1505 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2431
(573) 634-2620
(573) 761-1863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MO
207RC0000X
Cardiovascular Disease Physician
—
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
MO
207RG0100X
Gastroenterology Physician
—
MO
207RN0300X
Nephrology Physician
—
MO
207RP1001X
Pulmonary Disease Physician
—
MO
207RR0500X
Rheumatology Physician
—
MO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
111467
MO
208600000X
Surgery Physician
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD3561
RAILROAD MEDICARE
MO
Enumeration date
05/12/2006
Last updated
01/08/2008
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