BILLY MEDLEN

Contractor

Active Individual
NPI: 1881476091

Practice Address

20445 BANGOR RD
Crocker, MO 65452

Phone: (573) 528-4153

Specialties

Specialty Code Primary License
Contractor - Home Modifications 171WH0202X No -
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1881476091 is the National Provider Identifier for BILLY MEDLEN, a Contractor provider located in Crocker, MO. This NPI was enumerated on October 23, 2023.
BILLY MEDLEN practices at 20445 BANGOR RD, Crocker, MO 65452.

Quick Facts

NPI
1881476091
Type
Individual
Enumerated
Oct 23, 2023
Last Updated
Oct 23, 2023

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