| 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 |
Devan Kwinn Partridge, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 15 S. 1ooo E., Suite #250, Payson, UT 84651 Phone: 385-298-1008 Fax: 385-298-1009 | |
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 |