NPI 1174529739

Missouri Vein Care, LLC

Organisation Phlebology Physician Jefferson City, MO

Practice location

Address: 1620 Southridge Dr STE B, Jefferson City, MO 65109-4005
Phone: (573) 632-2780
Fax: (573) 632-2784

Authorised official

Name: Sophea Theresa Mosby
Title: Executive Administrative Assistant
Phone: (573) 632-2780

Registered specialties (3)

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X

Other Phlebology providers in Missouri →

Vascular Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

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Registry record

NPI: 1174529739
Entity type: Organization
NPI issued: 28 Jun 2005
Record last updated: 10 Jul 2026

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.