Individual provider · Type 1 NPI

Bethany L. Corey, PA

Surgical Physician Assistant · Columbia, MO

NPI number 1376591008 Active

Practice location

1 Hospital Dr
Columbia, MO 65212-0001

Call (573) 882-1647 Map

Fax (573) 884-5184

Mailing address

PO Box 7687
Columbia, MO 65205-7687

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X780 (TN)
Surgical Physician Assistant Primary 363AS0400X2007013182 (MO)

Surgical Physician Assistant: Definition to come...

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About NPI 1376591008

Bethany L. Corey, PA's National Provider Identifier is 1376591008, issued on May 5, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Columbia, MO. The record was last updated on Jun 11, 2009.