FAMILY MEDICINE OF JEFFERSON CITY, LLC

JEFFERSON CITY, MO
NPI1043319957
Entity TypeOrganization
Authorized ContactDANIEL P LAVERY
Owner/President
573-659-7300
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  R9J28)
Enumeration Date2006-09-21
Last Update Date2020-08-22
Business Address
FAMILY MEDICINE OF JEFFERSON CITY, LLC
1616 SOUTHRIDGE DR SUITE #203
JEFFERSON CITY, MO 65109-5677
Phone number: 573-659-7300
Mailing Address
FAMILY MEDICINE OF JEFFERSON CITY, LLC
1616 SOUTHRIDGE DR SUITE #203
JEFFERSON CITY, MO 65109-5677
Phone number: 573-659-7300
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