Healthcare Provider Details

I. General information

NPI: 1497744478
Provider Name (Legal Business Name): DEVIN P. BECKSTRAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 27128
SALT LAKE CITY UT
84127-0128
US

IV. Provider business mailing address

PO BOX 27128
SALT LAKE CITY UT
84127-0128
US

V. Phone/Fax

Practice location:
  • Phone: 435-688-4293
  • Fax:
Mailing address:
  • Phone: 435-688-4293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number10652099-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: