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Individual

DR. JOHN WYCLIFF BEDEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9301 LARGO DRIVE WEST, SUITE 201, LARGO, MD 20774-4884
(301) 350-8722
(301) 350-8822
Mailing address
9301 LARGO DR W STE 201, LARGO, MD 20774-4884
(301) 350-8722
(301) 350-8822

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0030666
MD
207RG0100X
Gastroenterology Physician
Primary
D30666
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
025110100
DC
05
37808-1300
MD
Enumeration date
08/18/2005
Last updated
04/16/2026
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