NPI 1033399076 · live from the CMS NPI Registry
Capital Region Medical Center
Psychiatry & Neurology, Neurology in Jefferson City, MO. National Provider Identifier 1033399076, active.
NPI record
| NPI | 1033399076 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 1125 Madison St, Jefferson City, MO 65101 |
| Practice phone | 573-632-5666 |
| Mailing address | Po Box 1128, Jefferson City, MO 65102 |
| Enumerated | November 7, 2007 |
| Last updated | August 23, 2013 |
| Authorized official | Tom Luebbering, Vp Of Finance |
| Other names | Capital Region Physicians - Neurology |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.