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Individual
DR. ROBERT D BEASLEY
Active
Individual
DR. ROBERT D BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006063E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001149342
—
PA
01
—
080172832
RAILROAD MEDICARE
—
01
—
204478
UPMC HEALTH PLAN
—
01
—
4070670
AETNA
—
01
—
548058
BLUE SHIELD
—
01
—
P000252
GATEWAY HEALTH PLAN
—
Enumeration date
08/13/2006
Last updated
10/28/2020
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