Provider Demographics
NPI:1427359298
Name:BEEBE, JOHN ELIOTT III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ELIOTT
Last Name:BEEBE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:337 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1883
Mailing Address - Country:US
Mailing Address - Phone:415-221-2266
Mailing Address - Fax:415-387-5915
Practice Address - Street 1:337 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1883
Practice Address - Country:US
Practice Address - Phone:415-221-2266
Practice Address - Fax:415-387-5915
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA-230722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A230720OtherCALIFORNIA BLUE SHIELD