| Doctor Name: | DR. GREGORY H BEAN |
| NPI Number: | 1629069695 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 35075241 |
| Business Practice Address: | 4700 North Las Vegas Blvd Nellis Afb, NV - 891916600 |
| Business Phone Number: | 7026532257 |
| Business Fax Number: | |
| Mailing Address: | 6434 Bright Morning St, NORTH LAS VEGAS |
| State: | NV |
| Postal Code: | 890842053 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/31/2005 |
| NPI Last Update Date: | 08/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 35075241 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |