Individual
BEVERLY ANN BEADLE
Active
Individual
BEVERLY ANN BEADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
C6789
AR
2084N0400X
Neurology Physician
Primary
C6789
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111802001104307002
—
AR
01
—
686591
MEDICARE
AR
Enumeration date
07/07/2006
Last updated
04/17/2019
Update your record
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