MEDICARE: DAVID C BEYER 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
1	2085R0001X	Radiation Oncology Physician	12193	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	248197	OTHER	AZ	AHCCCS

General Provider Information

NPI Number	:	1114992252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID C BEYER MD

Provider Business Mailing Address
First Line	:	3104 E CAMELBACK RD STE 931
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4502
Country	:	US
Telephone Number	:	602-753-5100
Fax Number	:	602-483-1304

Provider Business Practice Location Address
First Line	:	3700 W STATE ROUTE 89A
Second Line	:	VERDE VALLEY MEDICAL CENTER - SEDONA
City	:	SEDONA
State	:	AZ
Zip	:	86336-4937
Country	:	US
Telephone Number	:	928-204-4160
Fax Number	:	602-483-1304

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

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	11/11/2021

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Directions to “ DAVID C BEYER MD” Practice Location

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