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CAPITAL CITY MEDICAL ASSOCIATES, PC

Physicians Internal Medicine Cardiovascular Disease

Provider NPI: 1639129232

Organization Information:
Organization Name:  CAPITAL CITY MEDICAL ASSOCIATES, PC
Organization is not Subpart
Authorized Official:  RACHEL J KEMPKER  DATA PROCESSING MANAGER  573-634-2620

Practice Location:
1505 SOUTHWEST BLVD  JEFFERSON CITY, MO 65109-2431 US
Tel: 573-634-2620  Fax: 573-761-1863

Business Mailing Address:
1505 SOUTHWEST BLVD  JEFFERSON CITY, MO 65109-2431 US
Tel: 573-634-2620  Fax: 573-761-1863

NPI Information:
NPI: 1639129232
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207RC0000XPhysicians
Internal Medicine
Cardiovascular Disease
MO
N207RE0101XPhysicians
Internal Medicine
MO
N207RG0100XPhysicians
Internal Medicine
MO
N207RN0300XPhysicians
Internal Medicine
MO
N207RP1001XPhysicians
Internal Medicine
MO
N207RR0500XPhysicians
Internal Medicine
MO
N208600000XPhysicians
Surgery
MO
N207RS0012XPhysicians
Internal Medicine
MO111467
Y207R00000XPhysicians
Internal Medicine
MO

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD MEDICARECD3561MO01



American Medical Association 2012 taxonomy code information

Code: 207R00000X

Type:

Classification:



Definition:



MEDICAL JOBS MO - Page 1

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