SAMUEL WELLING BECKSTEAD

CHUBBUCK, ID
NPI1487041380
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207W00000X Ophthalmology
(Licence: ID  O-1389)
Additional Taxonomies207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery
(Licence: ID  O-1389)
Enumeration Date2015-04-20
Last Update Date2026-08-12
Business Address
SAMUEL WELLING BECKSTEAD DO
5620 HARVEST SPRINGS BLVD
CHUBBUCK, ID 83202-1061
Phone number: 208-232-4133
Mailing Address
SAMUEL WELLING BECKSTEAD DO
2100 PROVIDENCE WAY
IDAHO FALLS, ID 83404-4951
Phone number: 082-529-6600