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Jacob Beardsley
NPI 1699209056 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5506 N Pine St
Davenport, IA 52806 - Phone
- (563) 723-6900
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa