| NPI | 1871549345 |
|---|---|
| Doing Business As | JCMG PODIATRY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY LEE PATRICK President 573-635-5264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-10-03 |