Michael John Beasley

NPI #1972747178 in Lynnwood, Washington

Provider Information

NPI Number: 1972747178
Entity Type: Individual
Name: Michael John Beasley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Radiologic Technologist
Enumeration Date: May 1, 2009
Last Updated: May 1, 2009

Practice Location

Address: 6925 216TH ST SW STE P
City: Lynnwood
State: Washington
ZIP Code: 98036-7358
Phone: (503) 657-8663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist	247100000X	Primary

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