Individual
DR. JENNIFER IMARA HAYES-BETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8 TOWN CENTER DR, BOWLING GREEN, MO 63334-2803
(573) 324-2241
(573) 324-2617
Mailing address
8 TOWN CENTER DR, BOWLING GREEN, MO 63334-2803
(573) 324-2241
(573) 324-2617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010003211
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467650101
—
MO
Enumeration date
07/03/2007
Last updated
08/05/2021
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