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Organization
NOVA FAMILY MEDICINE LLC
Active
Organization
NOVA FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LOUIS BEAN D.O. (PRESIDENT)
(816) 781-7511
Entity
Organization
Contact information
Practice address
4 WESTOWNE ST, SUITE 401, LIBERTY, MO 64068-1166
(816) 781-7511
(816) 781-3881
Mailing address
4 WESTOWNE ST, SUITE 401, LIBERTY, MO 64068-1166
(816) 781-7511
(816) 781-3881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6851
MO
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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