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Individual

DR. JAMES BEESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-8148
(765) 646-8655
Mailing address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 646-8235
(765) 646-8655

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01032204A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01032204
STATE LIC #
IN
05
100172170
IN
01
930126125
MEDICARE RR
IN
Enumeration date
06/16/2005
Last updated
03/24/2021
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