Provider Demographics
NPI:1427198381
Name:BEESLEY, SUSAN RYMER (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:RYMER
Last Name:BEESLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4141 B ST STE 308
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-5942
Mailing Address - Country:US
Mailing Address - Phone:907-302-3933
Mailing Address - Fax:907-313-8622
Practice Address - Street 1:4141 B ST STE 308
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-5942
Practice Address - Country:US
Practice Address - Phone:907-302-3933
Practice Address - Fax:907-313-8622
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK6728208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics