Individual
AMANDA BEEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
12744
ND
207NP0225X
Pediatric Dermatology Physician
R1712
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18281
—
ND
Enumeration date
02/19/2009
Last updated
11/22/2013
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