Blake R. Beazer, M.D., INC
Family Medicine in Tooele, UT. Organization (NPI-2).
NPI number1184807992
StatusActive
Last updated in NPPESJan 10, 2014
Details
- NPI
- 1184807992
- Entity type
- Organization (NPI-2)
- Legal business name
- Blake R. Beazer, M.D., INC
- Organization subpart
- No
- Enumeration date
- Dec 14, 2007
- Last updated
- Jan 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 52480801205 | UT | Yes |
Practice location
2356 N 400 ESte. 201
Tooele, UT 84074-3409
Phone 435-882-2350 · Fax 435-882-2039
Mailing address
2356 N 400 ESte. 201
Tooele, UT 84074-3409
Phone 435-882-2350 · Fax 435-882-2039
Authorized official
Blake Richard Beazer
Medical Doctor
4358822358
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine providers in Tooele, UT
- Sergio Abarca, M.D.NPI 1245238617
- Amdb Medical LLCNPI 1205711157
- Russell Steven Anderson, D.O.NPI 1548407513
- Beacon House LLCNPI 1740094895
- Blake Richard Beazer, MDNPI 1073510012
- Birch Family Clinical Services LLCNPI 1760136998
- Cristi Bissegger-Cozad, aprnNPI 1902447436
- Dr. Carolyn Forbes, M.D.NPI 1144251711
- Dr. Patrick Nelson Green, M.D.NPI 1144431800
- Headache Relief Specialists LLCNPI 1760826184
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.