Individual
PARKER BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(619) 881-9011
Mailing address
NMRTC, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-5000
(619) 532-7522
(619) 532-6941
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
0102208059
VA
208D00000X
General Practice Physician
Primary
0102208059
VA
Other
Enumeration date
04/30/2022
Last updated
06/19/2026
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