Individual
JOHN BEAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27710-0001
(919) 620-4467
Mailing address
2100 ERWIN RD, DUKE UNIVERSITY MEDICAL CENTER - DUMC 3707, DURHAM, NC 27710-0001
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
100988
NC
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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