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Organization

MCB MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BEAVERS DO (OWNER)
(949) 696-6157
Entity
Organization

Contact information

Practice address
1502 PEMBERTON DR UNIT D, SALISBURY, MD 21801
(949) 696-6157
Mailing address
8678 SPUR LN, EASTON, MD 21601
(949) 696-6157

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
04/23/2024
Last updated
04/23/2024
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