Individual
RUSSELL J BECKSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1175 E 50 S STE 241, AMERICAN FORK, UT 84003-2849
(801) 492-5999
(801) 418-0897
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0897
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1052168-1204
UT
Other
Enumeration date
04/08/2015
Last updated
12/05/2025
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