Individual
DR. RICHARD LEE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3782
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4995691
WELLMARK BCBS
SD
05
—
6001152
—
SD
Enumeration date
01/25/2006
Last updated
12/04/2009
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