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Individual

DR. EARL BEAUPIED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
441 N WABASH AVE, MARION, IN 46952-2612
(765) 660-6900
Mailing address
PO BOX 34936, DEPT 3028, SEATTLE, WA 98124-1936
(888) 398-2473

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01067721A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001226776
ANTHEM
IN
05
200962580
IN
Enumeration date
06/02/2006
Last updated
05/22/2019
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