Brent W Beasley MD

NPI 1043278484 - Internal Medicine - 207RG0300X

NPI Details
NPI 1043278484
Gender Male
Enumeration Date 05/03/2006
Last Updated 06/07/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
4444 E 41ST ST
TULSA OK, 74135-2527, US
Phone (918) 619-4400
Fax (918) 619-4152
Business Location
PO BOX 268838
OKLAHOMA CITY OK, 73126-8838, US
Phone (918) 619-4400
Fax (816) 561-5766
Toxanomy
Taxonomy Code 207RG0300X
License State Kansas
License Number 0426982
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According to our database, Brent W Beasley MD NPI is 1043278484, taxonomy code is 207RG0300X and license number is 0426982, license state is located at Kansas. Brent W Beasley MD physically located at 4444 E 41st St, Tulsa OK, 74135-2527. NPI Number Brent W Beasley MD has the Individual type.

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1043278484 NPI number is provided on an as is basis without warranty of any kind. 1043278484 is maintained by the National Plan & Provider Enumeration System. The contents of Brent W Beasley MD are for informational purposes only.