Individual
GENE A BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
315 9TH ST SW, WILLMAR, MN 56201-3132
(320) 293-4363
(877) 384-3106
Mailing address
8911 N CAPITAL OF TEXAS HWY STE 1110, AUSTIN, TX 78759-7203
(877) 279-5960
(877) 384-3106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MN9369
MN
Other
Enumeration date
08/04/2006
Last updated
10/19/2023
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