Individual
KARL REINHARD BEUTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PH.D
Contact information
Practice address
480 CHADBOURNE RD, SUITE 201, FAIRFIELD, CA 94534-9647
(707) 399-4500
(707) 399-9527
Mailing address
2290 SACRAMENTO ST, VALLEJO, CA 94590-2929
(707) 643-5785
(707) 643-8810
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G43543
CA
207NS0135X
Procedural Dermatology Physician
G43543
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0023150
—
CA
01
—
ZZZ97788Z
MEDICARE GROUP PTAN
CA
Enumeration date
06/02/2006
Last updated
03/10/2014
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