MEDICARE: JOHN M BELDEN DO

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	207Q00000X	Family Medicine Physician	1645	AZ

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

General Provider Information

NPI Number	:	1457331530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN M BELDEN DO

Provider Business Mailing Address
First Line	:	320 N 32ND AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85009
Country	:	US
Telephone Number	:	602-278-1351
Fax Number	:	602-278-4057

Provider Business Practice Location Address
First Line	:	320 N 32ND AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85009
Country	:	US
Telephone Number	:	602-278-1351
Fax Number	:	602-278-4057

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

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	12/06/2010

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