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NPI Code Detail

MEDICARE: DR. MICHAEL DAVID BECK MD

MEDICARE: DR. MICHAEL DAVID BECK MD
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
1207P00000XEmergency Medicine Physician20592AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447241237
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL DAVID BECK MD
Provider Business Mailing Address
First Line : 3512 E ROSE LN
Second Line :
City : PARADISE VALLEY
State : AZ
Zip : 85253-3736
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 W BETHANY HOME RD
Second Line : PHOENIX BAPTIST HOSPITAL
City : PHOENIX
State : AZ
Zip : 85015-2443
Country : US
Telephone Number : 602-249-0212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 12/30/2012

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