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Organization

BEACON CANCER CARE PLLC

Active
Parent organization
BEACON CANCER CARE PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BEACON CANCER CARE PLLC
Authorized official
DR. DAVID CADWELL BARTELS DO (MEMBER)
(208) 755-2804
Entity
Organization

Contact information

Practice address
3815 N SCHREIBER WAY UNIT 101, COEUR D ALENE, ID 83815-8434
(208) 755-2804
(208) 765-0277
Mailing address
3815 N SCHREIBER WAY UNIT 101, COEUR D ALENE, ID 83815-8434
(208) 755-2804
(208) 765-0277

Taxonomy

Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary

Other

Enumeration date
11/13/2024
Last updated
11/13/2024
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