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Individual

DEIDRA BEDGOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7979 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46250-2042
(317) 621-3300
(317) 621-6601
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003526A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300060340
IN
Enumeration date
03/09/2022
Last updated
08/11/2026
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