Provider Demographics
NPI:1861644817
Name:AMSPAUGH, BETH MARIE (MD)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:MARIE
Last Name:AMSPAUGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2101 WESTOWN PKWY
Mailing Address - Street 2:STE 2
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-1598
Mailing Address - Country:US
Mailing Address - Phone:515-225-2566
Mailing Address - Fax:
Practice Address - Street 1:2101 WESTOWN PKWY
Practice Address - Street 2:STE 2
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-1598
Practice Address - Country:US
Practice Address - Phone:515-225-2566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI52303207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology