| NPI | 1083912265 |
|---|---|
| Doing Business As | CAPITAL REGION PHYSICIANS - MADISON STREET OB/GYN |
| Entity Type | Organization |
| Authorized Contact | TOM LUEBBERING VP Of Finance 573-632-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 419-15) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2013-08-23 |