NPI 1609382159

The Genesis Company, LLC

Organisation Phlebology Physician Jefferson City, MO

Practice location

Address: 2511 W Edgewood Dr STE H, Jefferson City, MO 65109-5869
Phone: (573) 761-5277

Authorised official

Name: Chandra Nath Prasad
Title: Owner
Phone: (573) 761-5277

Registered specialties

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X

Other Phlebology providers in Missouri →

Registry record

NPI: 1609382159
Entity type: Organization
NPI issued: 20 Dec 2017
Record last updated: 16 Jun 2018

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.