Individual
BETHANY LYNNE BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
702 BARNHILL DR, RM 5900, INDIANAPOLIS, IN 46202
(317) 274-7337
Mailing address
4607 EAGLES WATCH LN, INDIANAPOLIS, IN 46254-9527
(260) 243-0192
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301106784
MI
207P00000X
Emergency Medicine Physician
Primary
4301106784
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201101460
—
IN
Enumeration date
05/05/2010
Last updated
06/11/2018
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