Individual
MISTY BEESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
772 E HARRISON AVE, SALT LAKE CITY, UT 84105-2221
(408) 595-1954
Mailing address
772 E HARRISON AVE, SALT LAKE CITY, UT 84105-2221
(408) 595-1954
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
12578587-3400
UT
Other
Enumeration date
02/03/2022
Last updated
05/04/2023
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