Individual
REBEKAH BAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Mailing address
12502 B HWY, BOONVILLE, MO 65233-3930
(573) 489-7159
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019025788
MO
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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