Provider Demographics
NPI:1124728795
Name:LE BEAUMONT, WILLIAM REED CONE
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:REED CONE
Last Name:LE BEAUMONT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:REED
Other - Middle Name:
Other - Last Name:CONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1240 E STRINGHAM AVE APT 316
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-1034
Mailing Address - Country:US
Mailing Address - Phone:307-630-1470
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Practice Address - Street 2:27 S. MARIO CAPECCHI DRIVE
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84113
Practice Address - Country:US
Practice Address - Phone:307-630-1470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program