Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | DR.0034655 | CO |
NPI | 1043220510 |
---|---|
Provider Name | Gloria M Beim |
First Address | Grand Junction, CO 81505-1100 |
Second Address | Gunnison, CO 81230-2545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 18/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01346550 | (05) | CO |
G29758 | (02) | CO |