Doctor Name: | DR. BRIAN KEITH BECKER |
NPI Number: | 1467661488 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25749 |
Business Practice Address: | 3938 E Grant Rd P.m.b. #444 Tucson, AZ - 857122559 |
Business Phone Number: | 5206477992 |
Business Fax Number: | 5206477950 |
Mailing Address: | 3938 E Grant Rd, P.m.b. #444 TUCSON |
State: | AZ |
Postal Code: | 857122559 |
Phone Number: | 5206477992 |
Fax Number: | 5206477950 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25749 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |