| Doctor Name: | DR. ELEANE MARIE BEADLE |
| NPI Number: | 1528278074 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 24031 |
| Business Practice Address: | 1 Jarrett White Rd Tripler Army Medical Center Honolulu, HI - 968595001 |
| Business Phone Number: | 8084336661 |
| Business Fax Number: | 2539685926 |
| Mailing Address: | 1 Jarrett White Rd, Tripler Army Medical Center HONOLULU |
| State: | HI |
| Postal Code: | 968595001 |
| Phone Number: | 8084336661 |
| Fax Number: | 2539685926 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 01/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 24031 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |