Brian Paul Beesley M.D.

NPI 1205129897 - Family Medicine - 207Q00000X

NPI Details
NPI 1205129897
Gender Male
Enumeration Date 05/16/2011
Last Updated 08/06/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
2705 E 17TH ST
AMMON ID, 83406-6601, US
Phone (208) 346-7500
Fax (208) 346-7501
Business Location
2705 E 17TH ST
AMMON ID, 83406-6601, US
Phone (208) 346-7500
Fax (208) 346-7501
Toxanomy
Taxonomy Code 207Q00000X
License State Idaho
License Number 1M12490
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According to our database, Brian Paul Beesley M.D. NPI is 1205129897, taxonomy code is 207Q00000X and license number is 1M12490, license state is located at Idaho. Brian Paul Beesley M.D. physically located at 2705 E 17th St, Ammon ID, 83406-6601. NPI Number Brian Paul Beesley M.D. has the Individual type.

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1205129897 NPI number is provided on an as is basis without warranty of any kind. 1205129897 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Paul Beesley M.D. are for informational purposes only.