Organization
HILLSIDE HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLBY LOUIS BEAL DO (VICE PRESIDENT)
(801) 850-1110
Entity
Organization
Contact information
Practice address
1841 E. RIVERSIDE DR., ST. GEORGE, UT 84790
(801) 850-1110
Mailing address
2334 E 3910 S, ST GEORGE, UT 84790-5022
(801) 850-1110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225412885
INDIVIDUAL NPI - BROOKS BEAL, DO
—
01
—
1598119190
INDIVIDUAL NPI - COLBY BEAL, DO
—
Enumeration date
03/05/2021
Last updated
03/05/2021
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