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DR. FORREST O BEATY MD

Hospice and Palliative Medicine >> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1417070707

Individual Registrant:
DR. FORREST O BEATY MD
Gender: M
Sole Proprietor

Location and contact information for practice:
6015 ANDERSON RD  FORESTVILLE, CA 95436-9629 US
Tel: 707-887-7597  Fax: 707-887-7669

Contact information for business:
PO BOX 1427  FORESTVILLE, CA 95436-1427 US
Tel: 707-887-7597  Fax: 707-887-7669

Registration Information:
NPI: 1417070707
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207QH0002XAllopathic & Osteopathic Physicians
Family Medicine
Hospice and Palliative Medicine
CAA024751

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00A247511CA05




HEALTH CARE JOBS CA - Page 1



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