Individual
JEFFREY P BECKENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5150 JOURNAL CENTER BLVD NE FL 2, ALBUQUERQUE, NM 87109-5900
(505) 342-8400
(505) 342-8401
Mailing address
5803 NEAL AVE N, OAK PARK HEIGHTS, MN 55082-2177
(651) 439-8807
(651) 439-0232
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
40868
MN
Other
Enumeration date
06/09/2005
Last updated
10/24/2019
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