Individual
DR. DOUGLAS BEAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
0101228192
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010391733
—
VA
Enumeration date
08/29/2005
Last updated
04/19/2024
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