Individual
GREGORY B BIEDERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1705 E BROADWAY, STE 100, COLUMBIA, MO 65201-7166
(573) 874-7800
(573) 443-3627
Mailing address
1705 E BROADWAY, SUITE 100, COLUMBIA, MO 65201-7166
(573) 874-7800
(573) 443-3627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101240320
VA
2085R0001X
Radiation Oncology Physician
Primary
2009010338
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101240320
MEDICAL LICENSE
VA
05
—
1851463756
—
MO
Enumeration date
11/15/2006
Last updated
01/31/2025
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