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Individual

DR. CHRISTOPHER MICHAEL BEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5101
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500

Taxonomy

Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
23083
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04427852
MS
05
2406868
LA
Enumeration date
09/24/2007
Last updated
12/28/2015
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