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Samuel Welling Beckstead, DO
Ophthalmic Plastic and Reconstructive Surgery Physician in Idaho Falls, Idaho
NPI 1487041380

Samuel Welling Beckstead is a Ophthalmic Plastic and Reconstructive Surgery Physician based in Idaho Falls, ID and is specialized in Ophthalmic Plastic and Reconstructive Surgery. Samuel Welling Beckstead practices in Idaho Falls, ID and has the professional credentials of DO. The NPI Number for Samuel Welling Beckstead is 1487041380 and holds a License No. OS020090 (Idaho).

The current practice location address for Samuel Welling Beckstead is 2100 Providence Way, Idaho Falls, ID and can be reached out via phone at 208-529-6600 and via fax at 208-529-6602. You can also correspond with Samuel Welling Beckstead through the mailing address at 2100 PROVIDENCE WAY, IDAHO FALLS, ID - 83404-4951 (mailing address contact number: 082-529-6600).

Location: 2100 Providence Way, Idaho Falls, ID, 83404-4951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487041380
Provider Name
Samuel Welling Beckstead
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2100 Providence Way, Idaho Falls, ID, 83404-4951
Phone Number
208-529-6600
Fax Number
208-529-6602
Provider Enumeration Date
04/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2100 Providence Way
City
Idaho Falls
State
Idaho
Zip
83404-4951
Phone Number
208-529-6600
Fax Number
208-529-6602
person
Provider Business Mailing Address Details
Address
2100 Providence Way
City
Idaho Falls
State
Idaho
Zip
83404-4951
Phone Number
082-529-6600
Fax Number
208-529-6602
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
207W00000X
License No.
()
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Ophthalmic Plastic and Reconstructive Surgery
Taxonomy
207WX0200X
License No.
O-1389 (Idaho)
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
OS020090 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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