Capital Region Medical Center

Specialty details in registry · Jefferson City, MO

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At a glance

1125 Madison St, Jefferson City, MO 65101-5227

NPPES record updated Oct 5, 2016. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1125 Madison St
Jefferson City, MO 65101-5227
Professional details: NPI, taxonomy & registry record
NPI1003986894
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
332B00000X
Enumeration date
Nov 8, 2006
Record updated
Oct 5, 2016
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

332B00000X

License reported: 412 12 MO

Specialty details in registry

332B00000X · Primary

License reported: 41212 MO

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1125 Madison St
Jefferson City, MO 65101-5227
Phone
(573) 632-5750
Fax
(573) 632-5868
Mailing address
7748 WATSON ROAD

SAINT LOUIS, MO 631195407
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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