Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson City Obstetrics & Gynecology Inc

Organization Obstetrics & Gynecology Physician · NPI 1235311796

Jefferson City Obstetrics & Gynecology Inc is an Obstetrics & Gynecology Physician in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2712 Plaza Dr
Jefferson City, MO 65109-1147
Phone: (573) 893-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 119368 (MO)

Record details

NPI number1235311796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kwei Su — Administrator · (573) 893-5500
NPI enumeratedNovember 27, 2007
Last updated in NPPESApril 6, 2010
Mailing address2712 Plaza Dr, Jefferson City, MO 65109-1147

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