Individual
JOHN BEEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
701 LEWISTON ST, COTTONWOOD, ID 83522-9750
(208) 962-3251
(208) 962-2313
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 962-3251
(208) 962-2313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-83
ID
363A00000X
Physician Assistant
Primary
PA83
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805028800
—
ID
Enumeration date
06/14/2005
Last updated
08/05/2021
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