Individual
JAY CONRAD BEISWANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 DOCTORS DR, PANAMA CITY, FL 32405-4517
(850) 785-8557
(850) 785-3497
Mailing address
80 DOCTORS DR, PANAMA CITY, FL 32405-4517
(850) 785-8557
(850) 785-3497
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0076055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254751100
—
FL
Enumeration date
09/20/2005
Last updated
12/31/2009
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