Individual
MR. WASSILLIE BEEBE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
324 RADIO STREET, BETHEL, AK 99559-0528
(907) 543-6730
(907) 543-6712
Mailing address
PO BOX 528, ATTN: BHPATC PROGRAM, BETHEL, AK 99559-0528
(907) 543-6730
(907) 543-6712
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
Enumeration date
03/20/2015
Last updated
03/20/2015
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