Individual
JOE M BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPA
Contact information
Practice address
2149 SW 59TH ST, SUITE 101, OKLAHOMA CITY, OK 73119-7033
(405) 682-4651
(405) 682-3391
Mailing address
2149 SW 59TH ST, SUITE 101, OKLAHOMA CITY, OK 73119-7033
(405) 682-4651
(405) 682-3391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA336
OK
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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