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Contact Information

CLISTO D BEATY, MD
1000 E 100 N
PAYSON, UT84651-1600
 Phone: 800-748-4868
 Fax: 801-733-5872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for CLISTO D BEATY · (Male)

NPI Number 1891806162
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-4600
  • UT License # 169252-1205
  • UT Other QM0000076595 ALTIUS
  • UT Other 36319 DESERET MUTUAL
  • UT Other 870525882BE1 EDUCATORS MUTUAL
  • UT Other 51728 HEALTHY U
  • UT Other 107006158102 IHC
  • UT Other PR00524 MOLINA
  • UT Other 7820 PEHP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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