Gene A Beavers PA-C

NPI 1053329755 - Physician Assistant - 363A00000X

NPI Details
NPI 1053329755
Gender Male
Enumeration Date 08/04/2006
Last Updated 05/25/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
101 WILLMAR AVE SW
AFFILIATED COMMUNITY MEDICAL CENTERS
WILLMAR MN, 56201, US
Phone (320) 231-5000
Fax
Business Location
101 WILLMAR AVE SW
AFFILIATED COMMUNITY MEDICAL CENTERS
WILLMAR MN, 56201, US
Phone (320) 231-5000
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Minnesota
License Number MN9369
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According to our database, Gene A Beavers PA-C NPI is 1053329755, taxonomy code is 363A00000X and license number is MN9369, license state is located at Minnesota. Gene A Beavers PA-C physically located at 101 Willmar Ave Sw, Willmar MN, 56201. NPI Number Gene A Beavers PA-C has the Individual type.

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1053329755 NPI number is provided on an as is basis without warranty of any kind. 1053329755 is maintained by the National Plan & Provider Enumeration System. The contents of Gene A Beavers PA-C are for informational purposes only.