Individual
SEAN DALY BEATY
Active
Individual
SEAN DALY BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11844
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509912
—
NV
01
—
86080015085259A463
TRICARE WEST
AZ
05
—
939788
—
AZ
01
—
CC4853
BLUE
NV
01
—
P00342670
RR MEDICARE
NV
Enumeration date
11/28/2005
Last updated
01/11/2013
Update your record
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