| Nova Family Medicine Llc | |
|
4 Westowne St Suite 401 Liberty MO 64068-1166 | |
| (816) 781-7511 | |
| (816) 781-3881 |
| Full Name | Nova Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4 Westowne St, Liberty, Missouri |
| Authorized Official Name and Position | John Louis Bean (PRESIDENT) |
| Authorized Official Contact | 8167817511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Family Medicine Llc 4 Westowne St Suite 401 Liberty MO 64068-1166 Ph: (816) 781-7511 | Nova Family Medicine Llc 4 Westowne St Suite 401 Liberty MO 64068-1166 Ph: (816) 781-7511 |
| NPI Number | 1316211881 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316211881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R6851 (Missouri) | Primary |
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