Unknown Individual – Family Medicine Physician, NPI 1821097783
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Edgewood, Jefferson City, Cole County, Missouri, United States
STE D
JEFFERSON CITY, MO 65102
Phone: (573) 761-2121
Fax: (573) 635-0726
Type: Location
1027, Rockland Road, Jones Corner, Jefferson, Lincoln County, Maine, 04348, United States
JEFFERSON CITY, MO 651021027
Phone: (573) 761-7246
Fax: (573) 761-6947
Type: Mailing
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 65102)
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