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Contact Information

CAPITAL REGION MEDICAL CENTER
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO65109
 Phone: 573-632-5482
 Fax: 573-632-5860
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CAPITAL REGION MEDICAL CENTER · (Female)

NPI Number 1932176591
Status Active
Credentials
Entity Individual
Enumeration date 03/02/2006
Last updated 08/23/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO Medicaid 508925708
  • MO Other C09211 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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