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TANIA BEATRIZ BELTRAN PAPSDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-3999
(573) 302-2751
Mailing address
426 S RIVER BIRCH DR, SPRINGFIELD, MO 65809-3307

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2012-00672
NC
2084N0400X
Neurology Physician
Primary
2013018202
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1053571760
MO
01
148380077
MEDICARE PTAN
MO
05
200006924
MO
Enumeration date
06/16/2008
Last updated
06/21/2024
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