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Individual

BRIAN K BELLAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
Mailing address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
(660) 890-8422

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
110543
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203963301
MO
Enumeration date
07/07/2006
Last updated
12/20/2021
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