Individual
KLEE S BETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2152 E BROADWAY RD, SUITE 1, TEMPE, AZ 85282-1751
(480) 892-5313
(480) 545-2788
Mailing address
PO BOX 3490, APACHE JUNCTION, AZ 85117-4126
(480) 892-5313
(480) 545-2788
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
18441
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049975
—
AZ
01
—
P00630025
RAILROAD MEDICARE
AZ
Enumeration date
05/27/2005
Last updated
03/09/2020
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