Individual
GREGORY BEDYNEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2710 SAINT FRANCIS DR STE 110, WATERLOO, IA 50702-5664
(319) 272-5000
(319) 272-6775
Mailing address
2710 SAINT FRANCIS DR STE 110, WATERLOO, IA 50702-5664
(319) 272-5000
(319) 272-6775
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
2005034466
MO
207T00000X
Neurological Surgery Physician
Primary
DO-05563
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200369700A
—
KS
05
—
204446900
—
MO
01
—
P00317215
RR MEDICARE
MO
Enumeration date
07/04/2006
Last updated
05/14/2020
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