Individual
DR. PHILLIP MARION BEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
735 W MAIN ST, FREDERICKTOWN, MO 63645-1113
(573) 783-8875
(573) 783-8890
Mailing address
735 W MAIN ST, FREDERICKTOWN, MO 63645-1113
(573) 783-8875
(573) 783-8890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32441
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240561530
—
MO
Enumeration date
05/05/2006
Last updated
01/21/2016
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