Individual
JEFFREY K BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 PRINGLE WAY, SUITE 509, RENO, NV 89502-1464
(775) 358-4007
(775) 358-4405
Mailing address
75 PRINGLE WAY, SUITE 509, RENO, NV 89502-1464
(775) 358-4007
(775) 358-4405
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
9426
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G619810
—
NV
Enumeration date
07/11/2005
Last updated
12/20/2012
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