Individual
LARRY BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5950 UNIVERSITY AVE, STE 105, WEST DES MOINES, IA 50266-8216
(515) 875-9070
(515) 875-9071
Mailing address
6800 LAKE DR, STE 250, WEST DES MOINES, IA 50266-2500
(515) 875-9925
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-19336
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0428078
—
IA
Enumeration date
09/16/2005
Last updated
09/03/2015
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