Individual
ROBERT TERRY BECKSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1626 EAST 6520 SOUTH, SALT LAKE CITY, UT 84121-2555
(208) 239-1000
Mailing address
1626 E 6520 S, SALT LAKE CITY, UT 84121-2555
(208) 705-3383
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8115391-1205
UT
207P00000X
Emergency Medicine Physician
M4339
ID
Other
Enumeration date
06/28/2006
Last updated
03/01/2012
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