Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student Health |
261QS1000X |
| NPI # | 1124375241 |
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| LBN Legal business name | BEEBE PHYSICIANS NETWORK, INC. | ||||
| Authorized official | ROBERTA THOMAS - (ADM. SECRETARY) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 08/08/2012 | ||||
| Last updated | 02/11/2016 - About 10 years ago | ||||
| Identifiers |
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