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Individual

JUSTIN H BAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1012 N MAIN ST, SIKESTON, MO 63801-5044
(573) 471-0330
(573) 471-0461
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011007197
MO
207RN0300X
Nephrology Physician
Primary
2011007197
MO

Other

Enumeration date
05/23/2007
Last updated
08/08/2024
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