Individual
DR. BEAU SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2140 53RD AVE, BETTENDORF, IA 52722-6279
(563) 421-4370
(563) 421-4379
Mailing address
2140 53RD AVE, BETTENDORF, IA 52722-6279
(563) 421-4370
(563) 421-4379
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000842
IA
213ES0103X
Foot & Ankle Surgery Podiatrist
016005472
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00304800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/25/2008
Last updated
10/01/2025
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