Individual
MR. REES BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
105 S MAIN AVE, SIOUX CENTER, IA 51250-1535
(712) 722-1270
Mailing address
105 S MAIN AVE, SIOUX CENTER, IA 51250-1535
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
096851
IA
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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