Individual
BEN DAVID BEARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDHS
Contact information
Practice address
BASE TONGUE POINT 37573 HWY 30, ASTORIA, OR 97103
(256) 504-5209
Mailing address
BASE TONGUE POINT 37573 HWY 30, ASTORIA, OR 97103
(256) 504-5209
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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