MEDICARE: DR. J THADDEUS BECK M.D., F.A.C.P.

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
1	207RH0003X	Hematology & Oncology Physician	C6790	AR

Other Identifiers

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

General Provider Information

NPI Number	:	1952372120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. J THADDEUS BECK M.D., F.A.C.P.

Provider Business Mailing Address
First Line	:	3232 N NORTHHILLS BLVD
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72703-4005
Country	:	US
Telephone Number	:	479-587-1700
Fax Number	:	479-587-1366

Provider Business Practice Location Address
First Line	:	3232 N NORTHHILLS BLVD
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72703-4005
Country	:	US
Telephone Number	:	479-587-1700
Fax Number	:	479-587-1366

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	03/30/2020

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Directions to “ DR. J THADDEUS BECK M.D., F.A.C.P.” Practice Location

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