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Individual

BRANDON TYLER BEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
520 E CHERRY ST, TROY, MO 63379-1410
(314) 834-1400
(314) 834-1430
Mailing address
520 E CHERRY ST, TROY, MO 63379-1410
(314) 834-1400
(314) 834-1430

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2022006729
MO
207N00000X
Dermatology Physician
ME143200
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2022006729
MO
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME143200
FL
207NS0135X
Procedural Dermatology Physician
2022006729
MO
207NS0135X
Procedural Dermatology Physician
ME143200
FL

Other

Enumeration date
03/30/2015
Last updated
05/10/2026
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