Individual
MS. BETHANY L COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-1647
(573) 884-5184
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2007013182
MO
363AS0400X
Surgical Physician Assistant
780
TN
Other
Enumeration date
05/05/2006
Last updated
06/11/2009
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