Individual
STEPHEN L BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 243-1882
Mailing address
6143 TUSCANY CIR NW, CANTON, OH 44718-3748
(801) 243-1882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OH34-007669
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2357088
—
OH
Enumeration date
07/17/2006
Last updated
02/05/2023
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