Individual provider · Type 1 NPI

Hallie Ann Beacham, MD

Specialist · Healdsburg, CA

NPI number 1801180823 Active

Practice location

22200 Puccioni Rd
Healdsburg, CA 95448-9737

Fax (707) 431-7342

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA24621 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1801180823

Hallie Ann Beacham, MD's National Provider Identifier is 1801180823, issued on Jun 7, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Healdsburg, CA. The record was last updated on Jun 7, 2011.