Individual
JAMES BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21360 N 1450 E, MORONI, UT 84646
(435) 445-5200
(435) 445-5201
Mailing address
21360 N 1450 E, PO BOX 461, MORONI, UT 84646
(435) 445-5200
(435) 445-5201
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
UT
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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