Individual
ALFRED MARION BEASLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS PA-C
Contact information
Practice address
4802 N COLLEGE AVE, BETHANY, OK 73008-2642
(918) 645-3747
Mailing address
4802 N COLLEGE AVE, BETHANY, OK 73008-2642
(918) 645-3747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA2832
OKLAHOMA MEDICAL BOARD
OK
Enumeration date
11/28/2017
Last updated
02/08/2022
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