Individual
DR. RICHARD L BEARDSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2030 CHURCHMAN AVE, BEECH GROVE, IN 46107-1044
(317) 786-9285
(317) 781-2793
Mailing address
2030 CHURCHMAN AVE, BEECH GROVE, IN 46107-1044
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01029408A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100325580A
—
IN
Enumeration date
11/16/2005
Last updated
03/18/2016
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