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

DR. DOUGLAS WAYNE BEAL, M.D., M.S.H.A.

Deactivated Sole Proprietor

DR. DOUGLAS WAYNE BEAL, M.D., M.S.H.A. is a Pediatrics healthcare provider located in COLUMBIA, Missouri. NPI 1417954660 is deactivated in the NPPES registry. Verify at CMS.

Pediatrics · COLUMBIA, MO

This NPI has been deactivated. The record was deactivated on March 20, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1417954660
Provider Type
Individual
Gender
Male
NPI Issued
Jul 1, 2005 (0.71780821917808 yrs)
Last Updated
Jan 5, 2014
Deactivated
Mar 20, 2006
License
MD100429 (MO)
Sole Proprietor
Yes

Practice Information

Address
2412 FORUM BLVD
SUITE 201
COLUMBIA, MO, 652036364
Browse MO providers · Browse ZIP 65203
Phone
5734450725
Fax
5734451027
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in COLUMBIA, MO

Name Credential NPI
DR. JAMES R. L. GARB MD 1417959644
MRS. DELIA A MATIAS I M.D. 1215922125
DR. CATHARINE J. HARRIS M.D. 1861443699
RASHMI SRIVASTAVA M.D. 1942254875
TED GROSHONG MD 1881649754
THOMAS J SELVA MD 1922053859
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.