Unknown Individual – Gynecology Physician, NPI 1689666174
Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2712, Plaza Drive, Jefferson City, Cole County, Missouri, 65109, United States
JEFFERSON CITY, MO 651091147
Phone: (573) 893-5500
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65109)
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