DR. Bert Ira Beverly, M.D.

NPI #1174689343 in Waterville, Maine

Provider Information

NPI Number: 1174689343
Entity Type: Individual
Name: DR. Bert Ira Beverly, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Dec 29, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 258 MAIN ST
City: Waterville
State: Maine
ZIP Code: 04901-4857
Phone: (207) 873-2220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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