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Individual

MARY BRIDGET MEDOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1100 VIRGINIA AVENUE, COLUMBIA, MO 65212-0001
(573) 882-2663
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2026020985
MO

Other

Enumeration date
05/19/2026
Last updated
05/28/2026
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