Individual provider · Type 1 NPI
Richard G. Beatty Jr., DPM
Foot & Ankle Surgery Podiatrist · Mcalester, OK
NPI number
1689803348
Active
Practice location
1401 E Van Buren Ave
Mcalester, OK 74501-4245
Mailing address
6600 S Yale Ave, Suite 1400
Tulsa, OK 74136-3347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006107 (PA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 293 (OK) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36003638 (OH) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1689803348
Richard G. Beatty Jr., DPM's National Provider Identifier is 1689803348, issued on Jul 2, 2009. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Mcalester, OK. The record was last updated on Jul 1, 2013.