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BAVARIA MEDDAC NPI 1205275138


NPI Information

NPI: 1205275138
Provider Name: BAVARIA MEDDAC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
CMR 459 BOX 19908
APO, AE
ZIP 09139
Phone: (314) 469-1750
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BAVARIA MEDDAC is a primary care clinic center in Apo, AE. BAVARIA MEDDAC NPI is 1205275138. The provider is registered as an organization entity type.

The provider's business location address is:

CMR 459 BOX 19908
APO, AE
ZIP 09139-020
Phone: (314) 469-1750

The provider's authorized official is Vincent Bentley .
The authorized official title is Medical Director and has the following contact phone number (314) 469-1750.

The enumeration date for this NPI number is 6/25/2013 and was last updated on 6/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care4704257576MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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