Healthcare Provider Details

I. General information

NPI: 1851608665
Provider Name (Legal Business Name): JOSEPH M BECK II MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2010
Last Update Date: 09/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S UNIVERSITY AVE SUITE 512
LITTLE ROCK AR
72205-5302
US

IV. Provider business mailing address

500 S UNIVERSITY AVE SUITE 512
LITTLE ROCK AR
72205-5302
US

V. Phone/Fax

Practice location:
  • Phone: 501-666-7007
  • Fax: 501-666-7005
Mailing address:
  • Phone: 501-666-7007
  • Fax: 501-666-7005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License NumberC5955
License Number StateAR

VIII. Authorized Official

Name: JOSEPH M BECK II
Title or Position: OWNER
Credential: MD
Phone: 501-666-7007