Clisto D Beaty, MD | |
1000 E 100 N, Payson, UT 84651-1600 | |
(800) 748-4868 | |
(801) 733-5872 |
Full Name | Clisto D Beaty |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1000 E 100 N, Payson, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891806162 | NPI | - | NPPES |
51728 | Other | UT | HEALTHY U |
107006158102 | Other | UT | IHC |
7820 | Other | UT | PEHP |
36319 | Other | UT | DESERET MUTUAL |
QM0000076595 | Other | UT | ALTIUS |
870525882BE1 | Other | UT | EDUCATORS MUTUAL |
PR00524 | Other | UT | MOLINA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 169252-1205 (Utah) | Primary |
207L00000X | Anesthesiology | M-4600 (Idaho) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Clisto D Beaty, MD Po Box 311, Payson, UT 84651-0311 Ph: (801) 423-1039 | Clisto D Beaty, MD 1000 E 100 N, Payson, UT 84651-1600 Ph: (800) 748-4868 |
Jackson R Fitzgerald, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 800-748-4868 Fax: 801-733-5872 |