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NPI Code Detail

MEDICARE: DR. JEFFREY A BECKER D.O.

MEDICARE: DR. JEFFREY A BECKER D.O.
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
12084N0400XNeurology Physician3180AZ

Other Identifiers

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

General Provider Information

NPI Number : 1588667729
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY A BECKER D.O.
Provider Business Mailing Address
First Line : 7351 E OSBORN RD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-6451
Country : US
Telephone Number : 480-882-4335
Fax Number : 480-882-5705
Provider Business Practice Location Address
First Line : 9003 E SHEA BLVD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85260-6709
Country : US
Telephone Number : 480-323-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 09/15/2008

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