# NOVA FAMILY MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316211881
- **Authorized official:** DR. JOHN LOUIS BEAN D.O. (PRESIDENT)
- **Authorized official phone:** (816) 781-7511

## Contact information

- **Practice address:** 4 WESTOWNE ST, SUITE 401, LIBERTY, MO 64068-1166
- **Practice address phone:** (816) 781-7511
- **Practice address fax:** (816) 781-3881
- **Mailing address:** 4 WESTOWNE ST, SUITE 401, LIBERTY, MO 64068-1166
- **Mailing address phone:** (816) 781-7511
- **Mailing address fax:** (816) 781-3881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R6851 | MO | Yes |

## Other

- **Enumeration date:** 03/01/2012
- **Last updated:** 03/01/2012