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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENT J BEDKE, MD

Active

BRENT J BEDKE, MD is a Anatomic Pathology & Clinical Pathology healthcare provider located in KINGMAN, Arizona. NPI 1417186305 is currently active in the NPPES registry. Verify at CMS.

Anatomic Pathology & Clinical Pathology · KINGMAN, AZ

Registration Details

NPI Number
1417186305
Provider Type
Individual
Gender
Male
NPI Issued
Jul 13, 2009 (17.105769201695 yrs)
Last Updated
Mar 17, 2018
Licenses
52935 (MN)
48849 (AZ)

Practice Information

Address
1740 SYCAMORE AVE STE C
KINGMAN, AZ, 864091039
Browse AZ providers · Browse ZIP 86409
Phone
5072842511
Primary Specialty
Anatomic Pathology & Clinical Pathology
207ZP0102X

Other Anatomic Pathology & Clinical Pathology Providers in KINGMAN, AZ

Name Credential NPI
DONALD H NELSON DO 1588729685
RYAN E SWAPP MD 1962630863
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.