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NPI Code Detail

MEDICARE: DR. ROMAN BELTRAN DO

MEDICARE: DR. ROMAN BELTRAN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramMI

General Provider Information

NPI Number : 1396685962
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROMAN BELTRAN DO
Provider Business Mailing Address
First Line : 31700 N 29TH AVE APT 1021
Second Line :
City : PHOENIX
State : AZ
Zip : 85085-0189
Country : US
Telephone Number : 602-558-5610
Fax Number :
Provider Business Practice Location Address
First Line : 205 N EAST AVE
Second Line :
City : JACKSON
State : MI
Zip : 49201-1753
Country : US
Telephone Number : 517-205-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2026
Last Update Date : 03/31/2026

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Directions to “ DR. ROMAN BELTRAN DO” Practice Location

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