Michael E Beatty, M.d., P.c.

NPI #1881759991 in Edwardsville, Illinois

Provider Information

NPI Number: 1881759991
Entity Type: Organization
Organization Name: Michael E Beatty, M.d., P.c.
Primary Specialty: Specialist
Enumeration Date: Dec 27, 2006
Last Updated: Mar 18, 2009

Practice Location

Address: 2 SUNSET HILLS PROFESSIONAL CTR
City: Edwardsville
State: Illinois
ZIP Code: 62025-3760
Phone: (618) 656-9355

Authorized Official

Name: MR. THOMAS HAROLD YATES
Title: PRACTICE ADMINISTRATOR
Phone: (618) 656-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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