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Organization

CAPITAL REGION RESIDENT CLINIC

Active
Other names
Capital Region Physicians - Downtown Urgent Care
Organization subpart
No

Provider details

NPI number
Authorized official
TOM LUEBBERING (VP OF FINANCE)
(573) 632-5100
Entity
Organization

Contact information

Practice address
220 MADISON ST., JEFFERSON CITY, MO 65102
(573) 632-4900
(573) 644-6650
Mailing address
1111 MADISON ST, JEFFERSON CITY, MO 65101-2753
(573) 632-5027
(573) 634-5878

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
11/26/2012
Last updated
06/10/2014
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