Individual
BO J BEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 E WHEELER RD, MOSES LAKE, WA 98837-1820
(509) 765-5606
(509) 764-3244
Mailing address
660 S COOLIDGE ST, MOSES LAKE, WA 98837-1872
(509) 793-9715
(509) 764-3244
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01071391A
IN
207P00000X
Emergency Medicine Physician
Primary
MD60445790
WA
207P00000X
Emergency Medicine Physician
R0691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201101690
—
IN
05
—
2038574
—
WA
Enumeration date
03/31/2011
Last updated
10/23/2019
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