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Individual

DR. DAVID Q. BEVERSDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
402 N KEENE ST, COLUMBIA, MO 65201-8369
(573) 882-1515
(573) 884-0070
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
2008004262
MO
2084N0400X
Neurology Physician
2008004262
MO
2084P0800X
Psychiatry Physician
2008004262
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204610604
MO
Enumeration date
10/24/2006
Last updated
07/10/2025
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