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Individual
CARL JONATHAN BEECROFT
Active
Individual
CARL JONATHAN BEECROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
626
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0653000001
DMERC
AZ
01
—
P00423174
RAILROAD MC
AZ
Enumeration date
08/02/2005
Last updated
07/14/2011
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