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NPI Code Detail

MEDICARE: DR. PETER DUNCAN BEALE M.D.

MEDICARE: DR. PETER DUNCAN BEALE M.D.
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
1207V00000XObstetrics & Gynecology Physician15707NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831186436
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER DUNCAN BEALE M.D.
Provider Business Mailing Address
First Line : 9260 W SUNSET RD
Second Line : STE 200
City : LAS VEGAS
State : NV
Zip : 89148-4903
Country : US
Telephone Number : 702-216-3346
Fax Number : 702-671-6883
Provider Business Practice Location Address
First Line : 1799 MOUNT MARIAH DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-1501
Country : US
Telephone Number : 702-253-7802
Fax Number : 702-633-6474
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 09/09/2019

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Directions to “ DR. PETER DUNCAN BEALE M.D.” Practice Location

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