Individual
BRIAN PAUL BEESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
37 S 2ND E, REXBURG, ID 83440-1906
(208) 356-0234
(208) 656-8444
Mailing address
37 S 2ND E, REXBURG, ID 83440-1906
(208) 356-0234
(208) 656-8444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-12490
ID
Other
Enumeration date
05/16/2011
Last updated
07/21/2022
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