Individual
JUNE ELLEN BEETLER
Active
Individual
JUNE ELLEN BEETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
322518
NY
208000000X
Pediatrics Physician
OS 12813
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01289990
—
FL
05
—
1135939
—
IA
01
—
67463
COVENTRY HLTH CARE OF IA
IA
01
—
79915539
WELLMARK BCBS OF IOWA
IA
Enumeration date
08/09/2005
Last updated
06/22/2023
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