Individual
DEAN J BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1755 48TH ST, SUITE 200, BOULDER, CO 80301-2711
(303) 494-5263
(303) 494-5265
Mailing address
345 MAXWELL AVE, BOULDER, CO 80304-3972
(303) 544-5783
(303) 441-2388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15516
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01155167
—
CO
Enumeration date
11/21/2005
Last updated
12/28/2011
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