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NPI 1457605347 · live from the CMS NPI Registry

Michelle Marie Beshaw, PA-C

Physician Assistant in Clinton, OK. National Provider Identifier 1457605347, active.

NPI record

NPI1457605347 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice locationRr 1 Box 3060, Clinton, OK 73601
Practice phone580-331-3300
EnumeratedOctober 31, 2012
Last updatedOctober 31, 2012
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000XPA4362 (MA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.