Provider Demographics
NPI:1346972692
Name:BEAUPARLANT, PAIGE DANIELLE (MD)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:DANIELLE
Last Name:BEAUPARLANT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 HOSPITAL DR BLDG DC032.00
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65212-1000
Mailing Address - Country:US
Mailing Address - Phone:573-884-7701
Mailing Address - Fax:573-882-9096
Practice Address - Street 1:101 REDTAIL DR STE C
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:MO
Practice Address - Zip Code:65010-1140
Practice Address - Country:US
Practice Address - Phone:573-882-9060
Practice Address - Fax:573-657-0122
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2025016124207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine