Individual
DR. CHARLES ALLEN BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 NORRIS ST, EUREKA SPRINGS, AR 72632-3508
(479) 253-6007
Mailing address
605 EUREKA AVE STE C, BERRYVILLE, AR 72616-3035
(479) 253-6007
(479) 253-9877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N7014
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080008207
RR MEDICARE
—
05
—
111665001
—
AR
Enumeration date
08/30/2005
Last updated
12/17/2020
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