PREMISE HEALTH OF MISSOURI MEDICAL P C

NPI # 

Practice Address:

6336 Algoa Rd Ste 200

Jefferson City, MO, 65101-9877

Practice Phone:

573-632-1321

Practice Fax:

573-632-1331

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X