Individual provider · NPI-1

Simon David Beatty, MD

Otolaryngology, Plastic Surgery within the Head & Neck · Scottsdale, AZ

NPI number1972290112

StatusActive

Last updated in NPPESMay 16, 2024

Details

NPI: 1972290112
Entity type: Individual (NPI-1)
Name: Simon David Beatty
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Apr 19, 2023
Certification date: May 16, 2024
Last updated: May 16, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207YX0007X	Otolaryngology, Plastic Surgery within the Head & Neck	R80061	AZ	Yes

Practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5452

Phone 480-301-8000

Mailing address

13400 E Shea Blvd
Scottsdale, AZ 85259-5452

Phone 480-301-8000

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