Individual
DOUG BEESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3307 CALDWELL BLVD, NAMPA, ID 83651-6402
(208) 919-2455
Mailing address
3307 CALDWELL BLVD, NAMPA, ID 83651-6402
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
ID
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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