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Individual

RONALD BEAHM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1210 MEDICAL ARTS BLVD, SUITE 204, ANDERSON, IN 46011-3461
(765) 298-4530
Mailing address
1210 MEDICAL ARTS BLVD, SUITE 204, ANDERSON, IN 46011-3461
(765) 298-4530

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01025307A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000313194
ANTHEM
IN
Enumeration date
07/24/2006
Last updated
10/31/2007
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