Our Lady Queen of Peace Center, Inc
Our Lady Queen of Peace Center, Inc is a Family Medicine Physician 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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