Our Lady Queen of Peace Center, Inc
Our Lady Queen of Peace Center, Inc provides Family Medicine Physician services in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2006.
- Licensed in
- MO
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
909 Jefferson StJefferson City, MO 65101-2945
Phone: (573) 893-6279
Fax: (573) 893-7248
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 2002014089 (MO) |
|---|
Record details
| NPI number | 1962459768 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carolyn Tucker — President · (573) 893-6279 |
| NPI enumerated | May 27, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 909 Jefferson St, Jefferson City, MO 65101-2945 |
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