Individual
JIMMY BEASLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8000 E MAPLEWOOD AVE STE 200, GREENWOOD VILLAGE, CO 80111-4727
(303) 785-4700
Mailing address
8000 E MAPLEWOOD AVE STE 200, GREENWOOD VILLAGE, CO 80111-4727
(303) 785-4700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR.0063962
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/02/2016
Last updated
10/08/2020
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