# DR. ALLEN L BEACHY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104853860
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | N-6926 | AR | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 10/30/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080017763 | RR MEDICARE | — |
| 05 | — | 110987001 | — | AR |