Provider Demographics
NPI:1609957778
Name:BEUTLER, ANTHONY IVAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:IVAN
Last Name:BEUTLER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4301 JONES BRIDGE ROAD
Mailing Address - Street 2:FAP/A-1038/UNIFORMED SERVICES UNIVERSITY
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4712
Mailing Address - Country:US
Mailing Address - Phone:301-295-3632
Mailing Address - Fax:301-295-3100
Practice Address - Street 1:4301 JONES BRIDGE ROAD
Practice Address - Street 2:FAP/A-1038/UNIFORMED SERVICES UNIVERSITY
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4712
Practice Address - Country:US
Practice Address - Phone:301-295-3632
Practice Address - Fax:301-295-3100
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IN01052416A207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine