Organization
JEFFERSON CITY MEDICAL GROUP, P.C.
Active
Organization
JEFFERSON CITY MEDICAL GROUP, P.C.
Active
Other names
Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEE PATRICK M.D. (PRESIDENT)
(573) 635-5264
Entity
Organization
Contact information
Practice address
1241 W STADIUM BLVD, SECOND FLOOR, SUITE 2200, JEFFERSON CITY, MO 65109-6023
(573) 556-5747
(573) 636-9756
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 636-9756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC7852
MEDICARE RAILROAD
MO
01
—
CD6058
MEDICARE RAILROAD
MO
01
—
CP9089
MEDICARE RAILROAD
—
Enumeration date
06/07/2006
Last updated
05/09/2023
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