HEATHER BEASLEY M.D.
Individual Provider (NPI-1)
Active
Emergency Medicine
Provider Information
- NPI Number
1265895510- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 700 S MAIN ST, MOSCOW, ID, 838433046
- Phone
- (208) 882-4511
- Fax
- (208) 883-6580
Specialties & Taxonomies
Emergency Medicine
Primary License: WA #MD.61076165
Emergency Medicine
License: ID #M-14905
Student in an Organized Health Care Education/Training Program
License: NM