Individual
ALAN CRAIG BEAMSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1010 MILDA AVE, GALLUP, NM 87301-7022
(505) 870-1256
Mailing address
1010 MILDA AVE, GALLUP, NM 87301-7022
(505) 870-1256
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
18056
WI
207P00000X
Emergency Medicine Physician
Primary
A806-85
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002096
LOVELACE HEALTH/SALUD
NM
01
—
201014076
PRESBYTERIAN HEALTH/SALUD
NM
01
—
315483
AHCCCS
AZ
05
—
40741
—
NM
01
—
85031326887301A111
CHAMPUS
—
01
—
930011681
RAILROAD MEDICARE
NM
01
—
NM007580
BC/BS
NM
01
—
PROVP11304
MOLINA
NM
Enumeration date
01/05/2006
Last updated
11/09/2015
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