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NPI Code Detail

MEDICARE: DEBORAH P BEASLEY

MEDICARE: DEBORAH P BEASLEY
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
1207R00000XInternal Medicine Physician49133CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000904OTHERKAISER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1144369547
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH P BEASLEY
Provider Business Mailing Address
First Line : 7476 S WASHINGTON ST
Second Line :
City : CENTENNIAL
State : CO
Zip : 80122-1162
Country : US
Telephone Number : 303-795-8077
Fax Number :
Provider Business Practice Location Address
First Line : 9285 HEPBURN ST
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80129-2262
Country : US
Telephone Number : 720-348-4356
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 07/08/2007

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Directions to “ DEBORAH P BEASLEY ” Practice Location

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