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NPI 1881476091

IndividualActive

Billy Medlen

NPI 1881476091 · Contractor · Crocker, MO

Provider details

NPI number: 1881476091
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Sex: Male
Sole proprietor: No

Practice location

20445 Bangor Rd

Crocker, MO 65452-8239

Phone: (573) 528-4153

More MO providers

Mailing address

20445 Bangor Rd

Crocker, MO 65452-8239

Registry dates

Enumerated: 2023-10-23
Last updated: 2023-10-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Billy Medlen — NPI 1881476091, Crocker, MO | NPI Central