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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PAUL BRYAN BEACHEM IV, ATC

Active

MR. PAUL BRYAN BEACHEM IV, ATC is a Athletic Trainer healthcare provider located in LOGAN, Utah. NPI 1043670011 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LOGAN, UT

Registration Details

NPI Number
1043670011
Provider Type
Individual
Gender
Male
NPI Issued
Mar 3, 2016 (10.40640767336 yrs)
Last Updated
Mar 3, 2016
Licenses
9067793-4810 (UT)
RTO000189 (PA)

Practice Information

Address
7400 OLD MAIN HILL
DALE MILDENBERGER SPORTS MEDICINE COMPLEX
LOGAN, UT, 84322
Browse UT providers · Browse ZIP 84322
Phone
4357973636
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in LOGAN, UT

Name Credential NPI
MRS. KRISTIN MICHELLE WEST ATC-L 1740340603
MR. RICH ELWOOD HALL ATC 1730240086
MR. JEREMY STEVEN WILEY ATC 1649331992
BRAD LESTER NELSON ATC-L 1871659284
MS. FAWN MICHEL ATC 1114149556
ADAM RAIKES ATC 1285961565
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.