Individual provider · NPI-1

Dr. Richard L Beardsley, MD

Family Medicine · Beech Grove, IN

NPI number1295717270
StatusActive
Last updated in NPPESMar 18, 2016

Details

NPI
1295717270
Entity type
Individual (NPI-1)
Name
Dr. Richard L Beardsley
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 16, 2005
Last updated
Mar 18, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine01029408AINYes

Practice location

2030 Churchman Ave
Beech Grove, IN 46107-1044

Phone 317-786-9285 · Fax 317-781-2793

Mailing address

2030 Churchman Ave
Beech Grove, IN 46107-1044

Phone 317-528-4800 · Fax 317-865-1479

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