Organization
ADVANCED SENIOR CARE OF MISSOURI INC
Active
Other names
Advanced Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY BEAIRD (OWNER)
(636) 642-1215
Entity
Organization
Contact information
Practice address
910 N COLLEGE AVE STE 4, COLUMBIA, MO 65201-4797
(636) 642-1215
(573) 234-4799
Mailing address
910 N COLLEGE AVE STE 4, COLUMBIA, MO 65201-4797
(636) 642-1215
(573) 234-4799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
11/12/2024
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