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

BILLY JOE MEDLEN

Active

BILLY JOE MEDLEN is a Contractor healthcare provider located in CROCKER, Missouri. NPI 1881476091 is currently active in the NPPES registry. Verify at CMS.

Contractor · CROCKER, MO

Registration Details

NPI Number
1881476091
Provider Type
Individual
Gender
Male
NPI Issued
Oct 23, 2023 (2.8220025135134 yrs)
Last Updated
Oct 23, 2023

Practice Information

Address
20445 BANGOR RD
CROCKER, MO, 654528239
Browse MO providers · Browse ZIP 65452
Phone
5735284153
Primary Specialty
Contractor
171W00000X
Additional Specialty
Contractor
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.