Basic Information
Provider Information
NPI: 1114984127
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARMSTRONG
FirstName: BETH
MiddleName: JOY
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7113 N SPRINKLE RD
Address2:  
City: KALAMAZOO
State: MI
PostalCode: 490049621
CountryCode: US
TelephoneNumber: 2693811539
FaxNumber:  
Practice Location
Address1: 1850 WHITES RD
Address2: SUITE 3
City: KALAMAZOO
State: MI
PostalCode: 490084801
CountryCode: US
TelephoneNumber: 2693433900
FaxNumber: 2693435640
Other Information
ProviderEnumerationDate: 04/26/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X4301042513MIY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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