Individual
JOHN K BEIGHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1801 SELWAY DR, MISSOULA, MT 59808-9314
(406) 240-4593
Mailing address
1801 SELWAY DR, MISSOULA, MT 59808-9314
(406) 240-4593
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
113
MT
213ES0131X
Foot Surgery Podiatrist
113
MT
363LF0000X
Family Nurse Practitioner
Primary
219938
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000007931
BCBS
MT
05
—
0390422
—
MT
Enumeration date
07/12/2005
Last updated
12/20/2024
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