Individual
DR. JAMES LAURENCE BEDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-5000
Mailing address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-5000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
OS017547
PA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
20A16235
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103014610
—
PA
Enumeration date
06/26/2011
Last updated
12/17/2021
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