Organization
CAPITAL REGION MEDICAL CENTER
Active
Other names
Capital Region Physicians - General Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
TOM LUEBBERING (VP OF FINANCE)
(573) 632-5100
Entity
Organization
Contact information
Practice address
1125 MADISON ST., JEFFERSON CITY, MO 65102-1236
(573) 634-2620
(573) 634-2033
Mailing address
1125 MADISON ST., JEFFERSON CITY, MO 65102-1236
(573) 634-2620
(573) 634-2033
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/29/2008
Last updated
08/23/2013
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