Individual
DANA BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 E BASELINE RD, 112, PHOENIX, AZ 85042-7115
(602) 437-2225
Mailing address
3220 E BASELINE RD, 112, PHOENIX, AZ 85042-7115
(602) 437-2225
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT-15253
AZ
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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