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Organization
BEAVER MEDICAL GROUP P C
Active
Organization
BEAVER MEDICAL GROUP P C
Active
Parent organization
BEAVER MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEAVER MEDICAL GROUP
Authorized official
EMILY CASTILLO (ASSOCIATE DIRECTOR)
(702) 480-2550
Entity
Organization
Contact information
Practice address
839 HIGHLAND SPRINGS PARKWAY, BUILDING C, BEAUMONT, CA 92223
(951) 845-0313
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 480-2550
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
02/21/2020
Last updated
08/20/2024
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