Petran Beard

NPI 1205987039 - Family Medicine - 207Q00000X

NPI Details
NPI 1205987039
Gender Female
Enumeration Date 01/16/2007
Last Updated 08/15/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
4175 S ALAMO AVE
DAVIS-MONTHAN AFB
TUCSON AZ, 85707-4402, US
Phone (520) 228-2719
Fax
Business Location
12647 OLIVE BLVD
SUITE 600
SAINT LOUIS MO, 63141-6393, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number XXXXXX
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According to our database, Petran Beard NPI is 1205987039, taxonomy code is 207Q00000X and license number is XXXXXX, license state is located at Florida. Petran Beard physically located at 4175 S Alamo Ave, Tucson AZ, 85707-4402. NPI Number Petran Beard has the Individual type.

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1205987039 NPI number is provided on an as is basis without warranty of any kind. 1205987039 is maintained by the National Plan & Provider Enumeration System. The contents of Petran Beard are for informational purposes only.