NPI Index

MR. PAUL BEACHEM IV, ATC

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1043670011

Practice Address

7400 OLD MAIN HILL
DALE MILDENBERGER SPORTS MEDICINE COMPLEX
Logan, UT 84322

Phone: (435) 797-3636

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X No RTO000189 (PA)

Frequently Asked Questions

NPI 1043670011 is the National Provider Identifier for MR. PAUL BEACHEM IV, ATC, a Specialist/Technologist - Athletic Trainer provider located in Logan, UT. This NPI was enumerated on March 3, 2016.
MR. PAUL BEACHEM IV, ATC practices at 7400 OLD MAIN HILL, DALE MILDENBERGER SPORTS MEDICINE COMPLEX, Logan, UT 84322.

Quick Facts

NPI
1043670011
Type
Individual
Enumerated
Mar 3, 2016
Last Updated
Mar 3, 2016

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