Individual
MR. WARREN GEOFFREY BEDDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1404 E SUNSET CT, YUMA, AZ 85365-3517
(928) 344-4516
Mailing address
1404 E SUNSET CT, YUMA, AZ 85365-3517
(928) 344-4516
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
10808
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
991267
—
AZ
Enumeration date
12/19/2006
Last updated
07/09/2007
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