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Organization

JC PEDS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LORA BIAS FOLZ MD (MANAGING PARTNER)
(573) 606-7337
Entity
Organization

Contact information

Practice address
1705 CHRISTY DR STE 210, JEFFERSON CITY, MO 65101-5195
(573) 606-7337
(573) 616-4459
Mailing address
1705 CHRISTY DR STE 210, JEFFERSON CITY, MO 65101-5195
(573) 606-7337
(573) 616-4459

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
04/16/2021
Last updated
02/04/2022
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