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Beau Prey

NPI 1144785049 · on the registry since 2019

Practice

Address
9040 Fitzsimmons Dr
Joint Base Lewis Mcchord, WA 98431
Phone
(253) 968-0236
Clinicians at this address
67

Registry record

Primary taxonomy
208600000X
208600000X
Also registered as
390200000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington