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Capital Region Medical Center — NPI 1447405568, Jefferson City, MO | NPI Central

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Capital Region Medical Center

NPI 1447405568 · Sports Medicine (Family Medicine) Physician · Jefferson City, MO

Provider details

NPI number: 1447405568
Entity type: Organization
Primary specialty: Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Tom Luebbering, Vp of Finance(573) 632-5100
License: 108684 (MO)

Specialties & taxonomies

Sports Medicine (Family Medicine) PhysicianPrimary207QS0010XLicense 108684 (MO)
Allopathic & Osteopathic Physicians

Practice location

1505 Southwest Blvd

Jefferson City, MO 65109-2431

Phone: (573) 632-5544

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

3306 Emerald Ln

Jefferson City, MO 65109-6877

Other names (DBA / former)

Doing business as: Capital Region Physicians - the Sloan Clinic

Registry dates

Enumerated: 2008-11-18
Last updated: 2014-04-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.