Individual
DR. JONATHAN ROBERT BEERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 426-2108
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 426-2108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2012023488
MO
207R00000X
Internal Medicine Physician
54849
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477783686
—
MO
01
—
26D0889777
CLIA
MO
Enumeration date
07/22/2009
Last updated
03/17/2025
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