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NPI Code Detail

MEDICARE: DR. THADDEUS BEEKER MD

MEDICARE: DR. THADDEUS BEEKER 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
1207RH0003XHematology & Oncology Physician00018890AL

General Provider Information

NPI Number : 1780637579
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THADDEUS BEEKER MD
Provider Business Mailing Address
First Line : 1700 SPRING HILL AVE STE 100
Second Line :
City : MOBILE
State : AL
Zip : 36604-1416
Country : US
Telephone Number : 251-435-1200
Fax Number :
Provider Business Practice Location Address
First Line : 1700 SPRING HILL AVE STE 100
Second Line :
City : MOBILE
State : AL
Zip : 36604-1416
Country : US
Telephone Number : 251-435-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 04/19/2021

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Directions to “ DR. THADDEUS BEEKER MD” Practice Location

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