Individual
DR. JAMES S BEAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11400 158TH RD, MAYETTA, KS 66509-8866
(785) 966-8200
Mailing address
11400 158TH RD, PO BOX 249, MAYETTA, KS 66509-8866
(785) 966-8200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0433087
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106440
BLUE CROSS BLUE SHIELD
KS
05
—
200656780A
—
KS
Enumeration date
04/20/2007
Last updated
01/10/2013
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