Individual
DR. THOMAS O BEASLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
587 HIGHWAY 365, MAYFLOWER, AR 72106-9570
(501) 470-7413
(501) 470-7415
Mailing address
587 HIGHWAY 365, MAYFLOWER, AR 72106-9570
(501) 470-7413
(501) 470-7415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C4436
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10216001
—
AR
Enumeration date
06/02/2005
Last updated
07/08/2007
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