Individual
MR. MICHAEL RYAN BECKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13838 S 46TH PL STE 320, PHOENIX, AZ 85044-7804
(480) 759-5151
Mailing address
10415 N 10TH ST UNIT 1, PHOENIX, AZ 85020-8527
(517) 896-3065
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3631
AZ
363A00000X
Physician Assistant
Primary
5601005425
MI
Other
Enumeration date
06/15/2007
Last updated
02/07/2019
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