NPI 1023283843

Jacques David Beveridge, MD

Practitioner Specialist Cheyenne, WY

Practice location

Address: 3952 Parkview Dr, Cheyenne, WY 82001-8102
Phone: (307) 637-7700
Fax: (307) 637-5672

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 6275A (WY)

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Registry record

NPI: 1023283843
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2008
Record last updated: 19 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.