Provider Demographics
NPI:1497825038
Name:BEASLEY, DANIEL RHODES (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:RHODES
Last Name:BEASLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:COMMANDING OFFICER
Mailing Address - Street 2:ATTN: OCCUPATIONAL MEDICINE NAVAL HOSPITAL BOX 788250
Mailing Address - City:TWENTYNINE PALMS
Mailing Address - State:CA
Mailing Address - Zip Code:92278-8250
Mailing Address - Country:US
Mailing Address - Phone:760-830-2002
Mailing Address - Fax:
Practice Address - Street 1:NAVAL HOSPITAL TWENTYNINE PALMS
Practice Address - Street 2:1145 STURGIS ROAD
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92278
Practice Address - Country:US
Practice Address - Phone:760-830-2002
Practice Address - Fax:760-830-2389
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL00027625207R00000X
ALMD.276252083X0100X
CAC1945002083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine