Individual
DR. JOSEPH T. BEAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1223 E MAIN ST, PERRY, MO 63462-1410
(573) 565-2213
(573) 565-3517
Mailing address
PO BOX 409, PERRY, MO 63462-0409
(573) 565-2213
(573) 565-3517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3N97
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242871309
—
MO
Enumeration date
12/21/2005
Last updated
12/05/2008
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