Individual
DR. JASON S BEALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 W 300 N 75-3, ROOSEVELT, UT 84066
(435) 722-3971
(435) 722-6104
Mailing address
210 W 300 N 75-3, ROOSEVELT, UT 84066
(435) 722-3971
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
53066341205
UT
Other
Enumeration date
03/24/2006
Last updated
05/02/2017
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