Douglas James Beazer D.M.D.

NPI 1194953588 - Dentist - 1223G0001X

NPI Details
NPI 1194953588
Gender Male
Enumeration Date 06/24/2009
Last Updated 06/24/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
6526 MAIN ST
BONNERS FERRY ID, 83805-8521, US
Phone (208) 267-7509
Fax
Business Location
6526 MAIN ST
BONNERS FERRY ID, 83805-8521, US
Phone (208) 267-7509
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Idaho
License Number D 3057
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According to our database, Douglas James Beazer D.M.D. NPI is 1194953588, taxonomy code is 1223G0001X and license number is D 3057, license state is located at Idaho. Douglas James Beazer D.M.D. physically located at 6526 Main St, Bonners Ferry ID, 83805-8521. NPI Number Douglas James Beazer D.M.D. has the Individual type.

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1194953588 NPI number is provided on an as is basis without warranty of any kind. 1194953588 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas James Beazer D.M.D. are for informational purposes only.