Clisto Beaty, Md, PC

NPI #1811088826 in Twin Falls, Idaho

Provider Information

NPI Number: 1811088826
Entity Type: Organization
Organization Name: Clisto Beaty, Md, PC
Primary Specialty: Anesthesiology
Enumeration Date: Sep 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 650 ADDISON AVE W
City: Twin Falls
State: Idaho
ZIP Code: 83301-5444
Phone: (801) 993-9526

Authorized Official

Name: CLISTO D BEATY, MD
Title: PRESIDENT
Phone: (801) 993-9526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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