Individual
CHESTER WRAY BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2224 NW 50TH ST, SUITE 276W, OKLAHOMA CITY, OK 73112-8046
(405) 858-2350
Mailing address
2224 NW 50TH ST, STE 276W, OKLAHOMA CITY, OK 73112-8088
(405) 486-7250
(706) 653-8732
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10995
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100134960A
—
OK
Enumeration date
08/22/2005
Last updated
11/16/2016
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