Provider Demographics
NPI:1891770285
Name:BEAMESDERFER, SYLVIA BROUWER (MD)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:BROUWER
Last Name:BEAMESDERFER
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5342 DUDLEY BLVD BLDG 98
Mailing Address - Street 2:MC CLELLAN OPC
Mailing Address - City:MCCLELLAN
Mailing Address - State:CA
Mailing Address - Zip Code:95652-1012
Mailing Address - Country:US
Mailing Address - Phone:800-382-8387
Mailing Address - Fax:916-561-7405
Practice Address - Street 1:5342 DUDLEY BLVD BLDG 98
Practice Address - Street 2:MC CLELLAN OPC
Practice Address - City:MCCLELLAN
Practice Address - State:CA
Practice Address - Zip Code:95652-1012
Practice Address - Country:US
Practice Address - Phone:800-382-8387
Practice Address - Fax:916-561-7405
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG79411207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine