Individual
SUSAN K BEEBOUT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DR, UNIVERSITY OF IOWA HOSPITALS AND CLINICS, IOWA CITY, IA 52242-1009
(319) 356-3702
(319) 356-3086
Mailing address
200 HAWKINS DR, UNIVERSITY OF IOWA HOSPITALS AND CLINICS, IOWA CITY, IA 52242-1009
(319) 356-3702
(319) 356-3086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35679
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442822
—
IA
01
—
37026
WELLMARK BCBS
IA
Enumeration date
11/21/2005
Last updated
07/08/2007
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