Individual
DR. THEODORE J BELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1765 COMMERCIAL ST, WARSAW, MO 65355-3096
(660) 438-6800
(660) 438-6525
Mailing address
601 E 14TH ST, P O BOX 1706, SEDALIA, MO 65301-5972
(866) 678-5627
(660) 827-3742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
110839
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102227
UNITED HEALTHCARE PIN
MO
05
—
244629614
—
MO
01
—
26841021
BLUE CROSS BLUE SHIELD PIN
MO
01
—
566161
HEALTHLINK PIN
MO
01
—
7264017
AETNA PIN
MO
01
—
G92800
MERCY HEALTH PLANS PIN
MO
Enumeration date
10/12/2005
Last updated
06/09/2014
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