Capital Region Medical Center Valid NPI
Organization · Obstetrics & Gynecology Physician · Jefferson City, MO
- NPI
- 1083912265
- Type
- Organization (Type 2)
- Primary specialty
- Obstetrics & Gynecology Physician (Obstetrics & Gynecology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207V00000X
- License number
- 419-15 (MO)
- Enumerated
- 2011-03-11
- Last updated
- 2013-08-23
Practice location
1014 Madison St, Suite B
Jefferson City, MO 65101-3458
(573) 634-3496