Organization
ADVANCED SENIOR CARE OF MISSOURI INC
Active
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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