INNOVATIVE MEDICAL CLINIC

NPI # 

Practice Address:

3218 W Edgewood Dr , Ste 500

Jefferson City, MO, 65109

Practice Phone:

949-696-6157

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X

Updated by NPPES on 9/21/2023. You can view the original data set for NPI # 1063290260 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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INNOVATIVE MEDICAL CLINIC's

CMS CPT® coding data

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INNOVATIVE MEDICAL CLINIC's

CMS prescription data

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