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Individual

DAVID A BEAUCHAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
(505) 439-6100
Mailing address
2007 BELLAMAH DR, ALAMOGORDO, NM 88310-4309
(505) 439-1269

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
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