Individual
BARRY BEUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1975 MARTHA AVE STE B, IDAHO FALLS, ID 83404-7580
(208) 522-4598
(208) 529-3915
Mailing address
1975 MARTHA AVE STE B, IDAHO FALLS, ID 83404-7580
(208) 522-4598
(208) 529-3915
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301091543
MI
207L00000X
Anesthesiology Physician
9063
SD
207LP2900X
Pain Medicine (Anesthesiology) Physician
8622635-1205
UT
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
8973A
WY
207LP2900X
Pain Medicine (Anesthesiology) Physician
M-12141
ID
207LP2900X
Pain Medicine (Anesthesiology) Physician
MED-PHYS-LIC-29693
MT
207LP2900X
Pain Medicine (Anesthesiology) Physician
R-9048
IA
207R00000X
Internal Medicine Physician
MT187835
PA
Other
Enumeration date
05/14/2007
Last updated
03/05/2014
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