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1164406310

NPI Code Detail

MEDICARE: SARAH M BEALE MD

MEDICARE: SARAH M BEALE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085N0700X	Neuroradiology Physician	30482	CO
2	2085B0100X	Body Imaging Physician	30482	CO
3	2085N0904X	Nuclear Radiology Physician	30482	CO
4	2085P0229X	Pediatric Radiology Physician	30482	PA
5	2085R0202X	Diagnostic Radiology Physician	30482	CO

General Provider Information

NPI Number	:	1164406310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH M BEALE MD

Provider Business Mailing Address
First Line	:	10800 E GEDDES AVE STE 300
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80112-3895
Country	:	US
Telephone Number	:	303-761-9190
Fax Number	:	720-874-4462

Provider Business Practice Location Address
First Line	:	10800 E GEDDES AVE STE 300
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80112-3895
Country	:	US
Telephone Number	:	303-761-9190
Fax Number	:	720-874-4462

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	02/01/2021

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Directions to “ SARAH M BEALE MD” Practice Location

Language	Start Address	Practice Location

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