Richard Paul Beatty PA-C

NPI 1104903285 - Physician Assistant - 363AM0700X

NPI Details
NPI 1104903285
Gender Male
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4101 WOOLWORTH AVE
OMAHA NE, 68105-1850, US
Phone (402) 346-8800
Fax
Business Location
15419 WESTCHESTER CIR
OMAHA NE, 68154-2063, US
Phone (402) 334-5393
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Nebraska
License Number 1197
Remove 1104903285 NPI Number
 

According to our database, Richard Paul Beatty PA-C NPI is 1104903285, taxonomy code is 363AM0700X and license number is 1197, license state is located at Nebraska. Richard Paul Beatty PA-C physically located at 4101 Woolworth Ave, Omaha NE, 68105-1850. NPI Number Richard Paul Beatty PA-C has the Individual type.

Sponsored links

1104903285 NPI number is provided on an as is basis without warranty of any kind. 1104903285 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Paul Beatty PA-C are for informational purposes only.