Individual
BRADLEY J. BEATTIE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1208 N LINCOLN ST, KNOXVILLE, IA 50138-3421
(641) 828-3832
(641) 828-3820
Mailing address
1208 N LINCOLN ST, KNOXVILLE, IA 50138-3421
(641) 828-3832
(641) 828-3820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001135
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001135
LICENSE
ID
Enumeration date
09/27/2005
Last updated
08/04/2021
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