Individual
MRS. CARRIE DEE BEEBOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
323 BUDFIELD ST, JOHNSTOWN, PA 15904-6905
(814) 262-9500
(814) 262-7303
Mailing address
323 BUDFIELD ST, JOHNSTOWN, PA 15904-6905
(814) 262-9500
(814) 262-7303
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052969
PA
Other
Enumeration date
06/18/2007
Last updated
06/24/2008
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