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NPI Code Detail

MEDICARE: ELIZABETH ANNE BECKER PA-C

MEDICARE:   ELIZABETH ANNE BECKER  PA-C
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
1363A00000XPhysician Assistant002159IA
2363A00000XPhysician Assistant8691AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18691OTHERAZAZ STATE LICENSE
2002159OTHERIAIOWA STATE LICENSE

General Provider Information

NPI Number : 1699085274
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANNE BECKER PA-C
Provider Business Mailing Address
First Line : 2946 E BANNER GATEWAY DR
Second Line :
City : GILBERT
State : AZ
Zip : 85234
Country : US
Telephone Number : 480-256-6444
Fax Number : 480-256-3682
Provider Business Practice Location Address
First Line : 2946 E BANNER GATEWAY DR
Second Line :
City : GILBERT
State : AZ
Zip : 85234
Country : US
Telephone Number : 480-256-6444
Fax Number : 480-256-3682
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2010
Last Update Date : 02/18/2026

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Directions to “ ELIZABETH ANNE BECKER PA-C” Practice Location

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