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Contact Information

MARK D BEALE I, MD
133 WYATT DR
SUITE 9
LAS CRUCES, NM88005-2962
 Phone: 575-680-2684
 Fax: 575-680-2655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Pain Medicine

2084P2900X 86 Physician/Neuropsychiatry
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for MARK D BEALE I · (Male)

NPI Number 1164547709
Status Active
Credentials MD
Entity Individual
Enumeration date 03/20/2007
Last updated 02/22/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 93-208
  • NM Medicaid 1164547709
  • NM Other 1164547709 PSYCHIATRY/PAIN MANAGEMENT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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