Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 9056 | ND |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 9056 | ND |
NPI | 1053376079 |
---|---|
Provider Name | David M Beard |
First Address | Sioux Falls, SD 57117-5074 |
Second Address | Fargo, ND 58103-4940 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 11/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11875 | (05) | ND |
G71127 | (02) | ND |
P00247089 | PALMETTO GBA-RAILROAD MED (01) | ND |