Individual
DAVID BEARDSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1167 E 22ND AVE, EUGENE, OR 97403-1508
(541) 228-0177
Mailing address
1167 E 22ND AVE, EUGENE, OR 97403-1508
(541) 228-0177
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD18599
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050077189
RAILROAD MEDICARE
OR
05
—
287965
—
OR
01
—
A044
TRICARE
OR
01
—
R107984
MEDICARE
OR
Enumeration date
07/12/2006
Last updated
07/27/2015
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