Individual
DAVID A BEAUCHAMP
Active
Individual
DAVID A BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
95-13
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54852102
—
AZ
05
—
H5041
—
NM
01
—
NM009475
BCBS NM INDIVIDUAL
NM
01
—
P00227776
RR MEDICARE INDIVIDUAL
NM
Enumeration date
09/20/2005
Last updated
01/28/2008
Update your record
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