Individual
DR. S ADDISON BEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10501 E 91ST ST, STE ED, TULSA, OK 74133-5790
(918) 307-6920
(918) 307-6951
Mailing address
PO BOX 25277, OVERLAND PARK, KS 66225-5277
(918) 307-6920
(918) 307-6951
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3105
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231190A
—
OK
01
—
P00300534
MEDICARE RAILROAD
OK
Enumeration date
01/15/2006
Last updated
06/20/2018
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