NPI 1356855456

Alfred Marion Beasler, MHSPAC

Practitioner Physician Assistant Bethany, OK

Practice location

Address: 4802 N College Ave, Bethany, OK 73008-2642
Phone: (918) 645-3747

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1356855456
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Nov 2017
Record last updated: 8 Feb 2022

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.