Individual
DR. RICHARD EDWIN BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3719 DAUPHIN ST, MOBILE, AL 36608-1753
(251) 460-5333
Mailing address
MSC 656 P O BOX 830529, BIRMINGHAM, AL 35283-0529
(205) 655-7830
(205) 655-7839
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18891
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000024053559400060
—
AL
Enumeration date
05/26/2006
Last updated
01/21/2016
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