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SAMUEL BECKSTEAD, DO

DO

Ophthalmic Plastic and Reconstructive Surgery Physician

NPI: 1487041380IndividualAccepts Medicare

Specialties, Licenses & Credentials

Ophthalmology Physician

Ophthalmology

Code: 207W00000X

OS020090(PA)O-1389(ID)
Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Ophthalmic Plastic and Reconstructive Surgery PhysicianPrimary

Ophthalmology — Ophthalmic Plastic and Reconstructive Surgery

Code: 207WX0200X

O-1389(ID)

CMS Specialties

Education

OTHER

Class of 2015

Contact & Hours

Address
2100 PROVIDENCE WAY
IDAHO FALLS, ID 83404

Quick Facts

NPI
1487041380
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
4
Locations
1
Years in Practice
11

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