Provider Demographics
NPI:1407047723
Name:BEEBE, JAMES HAROLD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HAROLD
Last Name:BEEBE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4318 W OKMULGEE ST
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-4648
Mailing Address - Country:US
Mailing Address - Phone:918-686-0471
Mailing Address - Fax:918-686-9471
Practice Address - Street 1:4318 W OKMULGEE ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-4648
Practice Address - Country:US
Practice Address - Phone:918-686-0471
Practice Address - Fax:918-686-9471
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK25882207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine