JUSTIN T BEDFORD

COLUMBIA, MO
NPI1346590957
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2012029887)
Enumeration Date2012-09-12
Last Update Date2012-09-12
Business Address
-- JUSTIN T BEDFORD fnp
401 N KEENE ST
COLUMBIA, MO 65201-6625
Phone number: 573-876-1616
Mailing Address
-- JUSTIN T BEDFORD fnp
401 N KEENE ST
COLUMBIA, MO 65201-6625
Phone number: 573-876-1616