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NPI Code Detail

MEDICARE: MELISSA DIANE BEAGLE MD

MEDICARE: MELISSA DIANE BEAGLE 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
1207Q00000XFamily Medicine PhysicianDR.0046998CO

General Provider Information

NPI Number : 1376657932
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA DIANE BEAGLE MD
Provider Business Mailing Address
First Line : 777 BANNOCK ST
Second Line :
City : DENVER
State : CO
Zip : 80204-4597
Country : US
Telephone Number : 303-436-4949
Fax Number : 303-602-6727
Provider Business Practice Location Address
First Line : 4545 NAVAJO ST
Second Line :
City : DENVER
State : CO
Zip : 80211-2440
Country : US
Telephone Number : 303-436-4949
Fax Number : 303-602-6727
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 12/17/2024

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Directions to “ MELISSA DIANE BEAGLE MD” Practice Location

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