Doctor Name: | DON BEEVERS |
NPI Number: | 1023406840 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 00048629 |
Business Practice Address: | 118 College St Hollister, CA - 950233529 |
Business Phone Number: | 8315241560 |
Business Fax Number: | |
Mailing Address: | 118 College St, HOLLISTER |
State: | CA |
Postal Code: | 950233529 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/31/2014 |
NPI Last Update Date: | 12/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3401X |
License Number: | 00048629 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Computed Tomography |
Taxonomy Definition: |