Search › Idaho › 1223G0001X
Mark Beazer, D.M.D
NPI 1699966952 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6466 Main St
Bonners Ferry, ID 83805 - Phone
- (208) 267-7571
- Fax
- (208) 267-7572
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-23
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 Idaho