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Individual

JUSTIN T BEDFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
4230 PHILIPS FARM RD, COLUMBIA, MO 65201-0067
(573) 882-4800
(573) 884-0723
Mailing address
401 N KEENE ST, COLUMBIA, MO 65201-6625
(573) 876-1616
(876) 876-1678

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012029887
MO

Other

Enumeration date
09/12/2012
Last updated
11/24/2025
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