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NPI Code Detail

MEDICARE: JEFFREY P BECKENBAUGH DO

MEDICARE: JEFFREY P BECKENBAUGH 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
1207X00000XOrthopaedic Surgery Physician009119AZ

General Provider Information

NPI Number : 1407850340
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY P BECKENBAUGH DO
Provider Business Mailing Address
First Line : 1501 N. CAMPBELL AVENUE
Second Line : TOWER 4 - ROOM 8401
City : TUCSON
State : AZ
Zip : 85724
Country : US
Telephone Number : 520-626-4024
Fax Number : 520-626-2668
Provider Business Practice Location Address
First Line : 1555 E RIVER RD
Second Line :
City : TUCSON
State : AZ
Zip : 85718-5831
Country : US
Telephone Number : 520-321-9850
Fax Number : 520-321-9005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 06/03/2026

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Directions to “ JEFFREY P BECKENBAUGH DO” Practice Location

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