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Gary D Beauchamp, MD

Internal Medicine, Cardiovascular Disease in Liberty, MO. Individual provider (NPI-1).

NPI number1528080686
StatusActive
Last updated in NPPESDec 18, 2013

Details

NPI
1528080686
Entity type
Individual (NPI-1)
Name
Gary D Beauchamp
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 24, 2006
Last updated
Dec 18, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular DiseaseR5969MOYes
207RC0000X Internal Medicine, Cardiovascular Disease04-14844KS

Practice location

1530 N Church Rd
Liberty, MO 64068-7129

Phone 816-781-1696 · Fax 816-781-5438

Mailing address

5501 Nw 62nd Ter
Suite 201
Kansas City, MO 64151-2411

Phone 816-584-8884 · Fax 913-588-9220

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