Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDRICK DAVID BEAVER
Active Sole ProprietorFREDRICK DAVID BEAVER is a 385HR2055X healthcare provider located in COCHISE, Arizona. NPI 1922282904 is currently active in the NPPES registry. Verify at CMS.
385HR2055X · COCHISE, AZ
Registration Details
- NPI Number
- 1922282904
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 26, 2007 (18.659444090501 yrs)
- Last Updated
- Jan 14, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
2750 N. NINO PLACECOCHISE, AZ, 85606Browse AZ providers · Browse ZIP 85606
- Phone
- 5202530352
- Primary Specialty
-
385HR2055X
385HR2055X
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.