Individual
BRENT ALAN BEAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41870 GARSTIN DR, BIG BEAR LAKE, CA 92315-2088
(909) 866-6501
Mailing address
1636 MALABAR WAY, BIG BEAR CITY, CA 92314-9213
(678) 570-7644
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
45720
GA
207Q00000X
Family Medicine Physician
046540
GA
207Q00000X
Family Medicine Physician
Primary
A139605
CA
Other
Enumeration date
06/03/2006
Last updated
07/11/2022
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