Individual
DR. CHRISTIAN BEAUREGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 239-1000
Mailing address
1 NORTH ST APT 1R, PORTLAND, ME 04101-2742
(207) 491-6163
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1161576
ID
Other
Enumeration date
04/29/2021
Last updated
09/16/2024
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