Individual
THOMAS KODY BEDDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(314) 833-2700
Mailing address
205 W JEFFERSON ST APT 13, KIRKSVILLE, MO 63501-3409
(252) 933-1660
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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