Individual
DOUGLAS BEAZLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1030 INTERNATIONAL BLVD, OAKLAND, CA 94606-3730
(510) 238-5400
Mailing address
PO BOX 22210, OAKLAND, CA 94623-2210
(510) 535-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
665459
CA
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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