| NPI | 1548675770 |
|---|---|
| Former Name | AMY LYNN BEDEINT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: ND 18954) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT016071) |
| 207Q00000X Family Medicine (Licence: MN 72458) | |
| 207Q00000X Family Medicine (Licence: ND 18954) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2025-07-28 |