SearchIdaho207LP2900X

Barry Beutler, M.D

NPI 1972718658 · on the registry since 2007

Practice

Address
1975 Martha Ave Ste B
Idaho Falls, ID 83404
Phone
(208) 522-4598
Fax
(208) 529-3915
Organisation at this address
Idaho Psychiatric Institute
Wind River Pain Management Pllc
The Idaho Children'S Rehabilitation Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
207LP2900X
207LP2900X
Also registered as
207LP2900X
207R00000X
207LP2900X
207L00000X
207LP2900X
207L00000X
207LP2900X
Licence states on file
IA, PA, WY, ID, SD, UT, MI, MT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho