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Mike Bevers

Physician Assistant in Rehoboth Beach, DE. Individual provider (NPI-1).

NPI number1508899485
StatusActive
Last updated in NPPESOct 10, 2016

Details

NPI
1508899485
Entity type
Individual (NPI-1)
Name
Mike Bevers
Sex
Male
Sole proprietor
No
Enumeration date
Jul 7, 2006
Last updated
Oct 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistantc5-0000987DEYes

Other names

  • Mike Jesse Bevers (Professional Name)

Practice location

18947 John Willms Hwy
Rehoboth Beach, DE 19971-4474

Phone 302-703-6585

Mailing address

2016 Gilpin Ave
Wilmington, DE 19806-2214

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