Individual
RONALD L BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
227 E MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
(636) 931-2139
Mailing address
227 E MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
(636) 931-2139
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R6715
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24959
BOARD CERTIFICATE
—
01
—
27090
BNDD
MO
Enumeration date
12/21/2006
Last updated
03/07/2023
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