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NPI Code Detail

MEDICARE: PATRICIA BECKSTEAD DC

MEDICARE: PATRICIA BECKSTEAD DC
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
1111N00000XChiropractorB-572NV

General Provider Information

NPI Number : 1528582632
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA BECKSTEAD DC
Provider Business Mailing Address
First Line : 5545 MOUNTAIN VISTA ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-2114
Country : US
Telephone Number : 702-898-1400
Fax Number : 702-898-1485
Provider Business Practice Location Address
First Line : 5545 MOUNTAIN VISTA ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-2114
Country : US
Telephone Number : 702-898-1400
Fax Number : 702-898-1485
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2017
Last Update Date : 07/21/2022

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Directions to “ PATRICIA BECKSTEAD DC” Practice Location

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