MEDICARE: DR. STEVEN WALTER BEEVERS DPM

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	213E00000X	Podiatrist	00563	IA

Other Identifiers

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

General Provider Information

NPI Number	:	1639135122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN WALTER BEEVERS DPM

Provider Business Mailing Address
First Line	:	1219 NORTHFIELD DR NE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-7404
Country	:	US
Telephone Number	:	319-378-8933
Fax Number	:

Provider Business Practice Location Address
First Line	:	3053 CENTER POINT RD NE
Second Line	:	SUITE B
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-4049
Country	:	US
Telephone Number	:	319-365-6973
Fax Number	:	319-365-6974

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

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	12/13/2010

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