Organization
CAPITAL REGION MEDICAL CENTER
Active
Organization
CAPITAL REGION MEDICAL CENTER
Active
Other names
Capital Region Physicians - SurgiCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM LUEBBERING (VP OF FINANCE)
(573) 632-5100
Entity
Organization
Contact information
Practice address
1705 CHRISTY DR, SUITE 215, JEFFERSON CITY, MO 65101-5195
(573) 659-5500
(573) 659-5505
Mailing address
1705 CHRISTY DR, SUITE 215, JEFFERSON CITY, MO 65101-5195
(573) 659-5500
(573) 659-5505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/02/2012
Last updated
09/04/2013
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