Individual
CHARLES BLAKE BEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2270 LA MONTANA WAY, 201, COLORADO SPRINGS, CO 80918-6715
(719) 528-3500
Mailing address
7675 KALEB GRV, 1511, COLORADO SPRINGS, CO 80920-8221
(719) 440-2822
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1063211
TX
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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