Individual
BRUCE G. BELLAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
Mailing address
603 E GAINES DR, CLINTON, MO 64735-3205
(660) 885-8141
(660) 885-5815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101407
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207918509
—
MO
Enumeration date
07/07/2006
Last updated
11/15/2021
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