Organization
ROBERT B. MCBEATH MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (MEDICAL STAFF SUPERVISOR)
(702) 579-3253
Entity
Organization
Contact information
Practice address
1403 E SEGO LILY DR STE 100, SANDY, UT 84092-4350
(385) 274-3959
(385) 274-3970
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3253
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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