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NPI Code Detail

MEDICARE: DR. DOUGLAS W BEARD MD

MEDICARE: DR. DOUGLAS W BEARD 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
1207XS0117XOrthopaedic Surgery of the Spine Physician31566CO
2207XS0117XOrthopaedic Surgery of the Spine Physician17861NE

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 : 1669456497
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOUGLAS W BEARD MD
Provider Business Mailing Address
First Line : 1313 RIVERSIDE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-4352
Country : US
Telephone Number : 970-493-1292
Fax Number : 970-493-9066
Provider Business Practice Location Address
First Line : 1313 RIVERSIDE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-4352
Country : US
Telephone Number : 970-493-1292
Fax Number : 970-493-9066
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 06/03/2008

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