Individual
DEAN J BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
518 W LOCUST ST, DAVENPORT, IA 52803-2829
(563) 333-6235
Mailing address
1822 29TH ST, MOLINE, IL 61265-4257
(309) 781-0731
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00369
IA
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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