Individual
MR. CARL BEAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6400 WYOMING BLVD NE, ALBUQUERQUE, NM 87109-3843
(505) 828-3181
Mailing address
6400 WYOMING BLVD NE, ALBUQUERQUE, NM 87109-3843
(505) 828-3181
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
288
NM
Other
Enumeration date
07/16/2006
Last updated
01/19/2009
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