Jefferson City Dermatology

LBN: Jefferson City Medical Group, P.C.
Jefferson City Dermatology is an health care organization with primary practice located at 1241 W Stadium Blvd Suite 1407, Jefferson City MO 65109-6023. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Jefferson City Medical Group, P.C. can be contacted via phone (573) 635-5264, or through Patrick, Jeffrey Lee via phone (573) 635-5264.

Contact Information

Primary practice address
1241 W Stadium Blvd Suite 1407 Jefferson City MO 65109-6023
Phone: (573) 635-5264
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Patrick, Jeffrey Lee Doctor of Medicine (MD)
Phone: (573) 635-5264

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1972668903
LBN Legal business name Jefferson City Medical Group, P.C.
DBA Doing business as Jefferson City Dermatology
Authorized official Patrick, Jeffrey Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Dec 26th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972668903 NPPES
Missouri Other CD6059 MEDICARE RAILROAD

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