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Contact Information

JASON S BEALES, MD
210 W 300 N 75-3
ROOSEVELT, UT84066
 Phone: 435-722-3971
 Fax: 435-722-6104
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JASON S BEALES · (Male)

NPI Number 1891755872
Status Active
Credentials MD
Entity Individual
Enumeration date 03/24/2006
Last updated 05/02/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 53066341205
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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