Dr. Donna L. Beeson, D.O.
Internal Medicine in Boise, ID. Individual provider (NPI-1).
NPI number1689630436
StatusActive
Last updated in NPPESMar 28, 2019
Details
- NPI
- 1689630436
- Entity type
- Individual (NPI-1)
- Name
- Dr. Donna L. Beeson
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2006
- Last updated
- Mar 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | O-0549 | ID | Yes |
| 208M00000X | Hospitalist | O-0549 | ID |
Other names
- Donna L. Duddles (Former Name)
Practice location
190 E Bannock StBoise, ID 83712-6241
Phone 208-381-5015
Mailing address
190 E Bannock StBoise, ID 83712-6241
Phone 208-381-5015 · Fax 208-381-3681
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