NPI 1952984973 · live from the CMS NPI Registry
Christian Beauregard, DO
Family Medicine in Pocatello, ID. National Provider Identifier 1952984973, active.
NPI record
| NPI | 1952984973 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 777 Hospital Way, Pocatello, ID 83201 |
| Practice phone | 208-239-1000 |
| Mailing address | 1 North St Apt 1r, Portland, ME 04101 |
| Enumerated | April 29, 2021 |
| Last updated | September 16, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 1161576 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.