Organization
BEAL RADIOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE BEAL MD (PHYSICIAN)
(636) 528-3348
Entity
Organization
Contact information
Practice address
1000 E CHERRY ST, TROY, MO 63379-1513
(636) 528-3348
Mailing address
PO BOX 954675, SAINT LOUIS, MO 63195-4675
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DQ8640
RAILRAOD MEDICARE
—
Enumeration date
04/26/2007
Last updated
05/31/2011
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