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NPI Profile for SAMUEL W BECKSTEAD in IDAHO FALLS, ID.
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ophthalmic Plastic and Reconstructive Surgery |
207WX0200X | 18 | Physician/Ophthalmology | |
Ophthalmology |
207W00000X | 18 | Physician/Ophthalmology | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1487041380 |
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| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 04/20/2015 | |
| Last updated | 11/05/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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SAMUEL W BECKSTEAD
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SAMUEL W BECKSTEAD, DO