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Individual

DR. CHRISTOPHER C. CASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
(573) 761-4351
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 761-4351

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
112853
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
112853
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110235942
RR
MO
01
157851
BCBS
MO
05
205810302
MO
01
481541
HEALTHLINK
MO
01
CC7852
GROUP RR
MO
Enumeration date
03/20/2006
Last updated
07/31/2008
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