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NPI Code Detail

MEDICARE: ROGER ALLAN BECK M.D.

MEDICARE:   ROGER ALLAN BECK  M.D.
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
1207R00000XInternal Medicine PhysicianD1545TX
22083A0100XAerospace Medicine PhysicianD1545TX

General Provider Information

NPI Number : 1588926026
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROGER ALLAN BECK M.D.
Provider Business Mailing Address
First Line : 6017 E. WILSHIRE DRIVE
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257-1957
Country : US
Telephone Number : 480-560-7531
Fax Number :
Provider Business Practice Location Address
First Line : 4509 FOX FIRE WAY
Second Line :
City : FORT WORTH
State : TX
Zip : 76133
Country : US
Telephone Number : 480-560-7531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2012
Last Update Date : 06/11/2012

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Directions to “ ROGER ALLAN BECK M.D.” Practice Location

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