Individual
COURTNEY ELIZABETH BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2115
Mailing address
PO BOX 504274, SAINT LOUIS, MO 63150-4274
(855) 420-7900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2016007094
MO
390200000X
Student in an Organized Health Care Education/Training Program
E-8796
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AR
05
—
PENDING
—
MO
Enumeration date
04/01/2013
Last updated
08/02/2016
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