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Individual

STEPHEN LITTLEFIELD BEASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8300 CONSTANTIN BLVD, BATON ROUGE, LA 70809-3489
(225) 374-1410
(225) 374-1616
Mailing address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-8853
(225) 765-1700

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD014137
LA
208000000X
Pediatrics Physician
MD014137
LA
208000000X
Pediatrics Physician
MD13396
TN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD014137
LA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD13396
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000476759B
GA
05
009910799
AL
05
009940173
AL
05
03178354
MS
05
1968374
LA
05
3011747
TN
01
4140363
BLUE CROSS
TN
Enumeration date
10/10/2006
Last updated
01/12/2021
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