Individual
MR. DAVID RAY BECKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA,MSN
Contact information
Practice address
2333 N TIMBERLINE RD, FLAGSTAFF, AZ 86004-7550
(928) 522-8588
(928) 522-0654
Mailing address
2333 N.TIMBERLINE RD., FLAGSTAFF, AZ 86004-7550
(928) 522-8588
(928) 522-0654
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN095065
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363L00000X
NIFA MEDICAL BILLING
CA
01
—
AZ0146500
BCBS PROVIDER NUMBER
AZ
Enumeration date
11/06/2006
Last updated
07/08/2007
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