Beau Prey

NPI #1144785049 in Joint Base Lewis Mcchord, Washington

Provider Information

NPI Number: 1144785049
Entity Type: Individual
Name: Beau Prey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Enumeration Date: Feb 5, 2019
Last Updated: Dec 22, 2020

Practice Location

Address: 9040 FITZSIMMONS DR
City: Joint Base Lewis Mcchord
State: Washington
ZIP Code: 98431-1000
Phone: (253) 968-0236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Surgery	208600000X	Primary

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