Individual
DR. BEATTY G. SUITER
Active
Individual
DR. BEATTY G. SUITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04-30624
KS
207W00000X
Ophthalmology Physician
2006024383
MO
207WX0107X
Retina Specialist (Ophthalmology) Physician
04-30624
KS
207WX0107X
Retina Specialist (Ophthalmology) Physician
2006024383
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105773
BLUE CROSS BLUE SHIELD OF
KS
05
—
200312403
—
MO
05
—
200399660B
—
KS
Enumeration date
06/16/2006
Last updated
09/01/2022
Update your record
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