Organization
OUR LADY QUEEN OF PEACE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN J. TUCKER FNP (PRESIDENT)
(573) 893-6279
Entity
Organization
Contact information
Practice address
909 JEFFERSON ST, JEFFERSON CITY, MO 65101-2945
(573) 893-6279
(573) 893-7248
Mailing address
909 JEFFERSON ST, JEFFERSON CITY, MO 65101-2945
(573) 893-6279
(573) 893-7248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002014089
MO
Other
Enumeration date
05/27/2006
Last updated
08/22/2020
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