Provider Demographics
NPI:1346347648
Name:BEAUCHAMP, ALISON KIMBERLY (DO)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:KIMBERLY
Last Name:BEAUCHAMP
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Gender:F
Credentials:DO
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Mailing Address - Street 1:4301 MOW-WAY ROAD
Mailing Address - Street 2:REYNOLDS ARMY COMMUNITY HOSPITAL (ATTN:MCUA-QC, MS PRES
Mailing Address - City:FORT SILL
Mailing Address - State:OK
Mailing Address - Zip Code:73503-6300
Mailing Address - Country:US
Mailing Address - Phone:580-458-2134
Mailing Address - Fax:580-458-2314
Practice Address - Street 1:4301 MOW-WAY ROAD
Practice Address - Street 2:RACH (ATTN: MCUA-QC, MS PRESCOTT)
Practice Address - City:FORT SILL
Practice Address - State:OK
Practice Address - Zip Code:73503-6300
Practice Address - Country:US
Practice Address - Phone:580-458-2134
Practice Address - Fax:580-458-2314
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IN02002608A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine