NPI 1356855456 · live from the CMS NPI Registry
Alfred Marion Beasler, MHS PA-C
Physician Assistant in Bethany, OK. National Provider Identifier 1356855456, active.
NPI record
| NPI | 1356855456 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 4802 N College Ave, Bethany, OK 73008 |
| Practice phone | 918-645-3747 |
| Enumerated | November 28, 2017 |
| Last updated | February 8, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.