Billy Joe Medlen

NPI #1881476091 in Crocker, Missouri

Provider Information

NPI Number: 1881476091
Entity Type: Individual
Name: Billy Joe Medlen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Oct 23, 2023
Last Updated: Oct 23, 2023

Practice Location

Address: 20445 BANGOR RD
City: Crocker
State: Missouri
ZIP Code: 65452-8239
Phone: (573) 528-4153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor - Home Modifications — Home Modifications	171WH0202X
Contractor	171W00000X	Primary

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