Provider Demographics
NPI:1659526689
Name:VP MEDICAL, LLC
Entity Type:Organization
Organization Name:VP MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED BILLING & CODING SPECIALI
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-632-0010
Mailing Address - Street 1:3308 W EDGEWOOD DR STE D
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65109-6891
Mailing Address - Country:US
Mailing Address - Phone:573-632-0010
Mailing Address - Fax:573-632-2449
Practice Address - Street 1:3308 W EDGEWOOD DR STE D
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109-6891
Practice Address - Country:US
Practice Address - Phone:573-632-0010
Practice Address - Fax:573-632-2449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty