Individual
PARKER BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
MCAS MIRAMAR BRANCH HEALTH CLINIC, 2496 BAUER RD, SAN DIEGO, CA 92126
(858) 307-9907
(619) 696-9259
Mailing address
I MARINE EXPEDITIONARY FORCE, 200 MERCY CIRCLE RD (RM 4172), CAMP PENDLETON, CA 92055
(760) 719-5100
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
0102208059
VA
208D00000X
General Practice Physician
0102208059
VA
Other
Enumeration date
04/30/2022
Last updated
10/08/2025
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