Individual
DR. JOHN E BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7530 NW 23RD ST, BETHANY, OK 73008-4921
(405) 730-6990
(405) 703-3116
Mailing address
PO BOX 892410, OKLAHOMA CITY, OK 73189-2410
(405) 735-9348
(405) 703-3116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18578
OK
208000000X
Pediatrics Physician
18578
OK
Other
Enumeration date
01/31/2006
Last updated
05/12/2020
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