NPI 1063290260

Innovative Medical Clinic

Organisation Multi-Specialty Clinic/Center Jefferson City, MO

Practice location

Address: 3218 W Edgewood Dr STE 500, Jefferson City, MO 65109
Phone: (949) 696-6157

Authorised official

Name: Elochukwu Osoego
Title: Owner
Phone: (949) 696-6157

Registered specialties (3)

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Other Clinic/Center providers in Missouri →

Primary Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Urgent Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QU0200X

Registry record

NPI: 1063290260
Entity type: Organization
NPI issued: 19 Sep 2023
Record last updated: 21 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.