Organization
CLISTO BEATY, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLISTO D BEATY MD (PRESIDENT)
(801) 993-9526
Entity
Organization
Contact information
Practice address
650 ADDISON AVE W, TWIN FALLS, ID 83301-5444
(801) 993-9526
(801) 733-5872
Mailing address
1954 FORT UNION BLVD, #105, SALT LAKE CITY, UT 84121-6800
(801) 993-9526
(801) 733-5872
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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