Individual
PATRICK LIAM BEAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4650 JEFFERSON LN NE, ALBUQUERQUE, NM 87109-2127
(505) 727-7900
(505) 727-9590
Mailing address
4150 V ST # 1200, SACRAMENTO, CA 95817-1460
(916) 734-5028
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD2024-0713
NM
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/01/2017
Last updated
11/21/2024
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