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Individual

RANDALL LEE BEATTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
420 EAST NORTH AVENUE, STE 116, PITTSBURGH, PA 15212
(412) 359-6300
(412) 359-6768
Mailing address
420 E NORTH AVE STE 116, PITTSBURGH, PA 15212-4746
(412) 359-6300
(412) 359-6768

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD035132E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012532240006
PA
01
11013027
CAQH
Enumeration date
03/18/2006
Last updated
10/16/2025
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