Organization
CAPITAL REGION MEDICAL CENTER
Active
Other names
Capital Region Cardiovascular Services
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R MCMILLAN (VP-FINANCE)
(573) 632-5100
Entity
Organization
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5550
(573) 632-5962
Mailing address
PO BOX 1128, JEFFERSON CITY, MO 65102-1128
(573) 632-5550
(573) 632-5962
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
11/07/2007
Last updated
11/16/2007
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