Individual
BRADLEY K BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O., P.C.
Contact information
Practice address
18555 N 79TH AVE STE B102, GLENDALE, AZ 85308-8372
(602) 610-9111
(602) 867-4247
Mailing address
18555 N 79TH AVE STE B102, GLENDALE, AZ 85308-8372
(602) 867-1302
(602) 867-4247
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
3803
AZ
Other
Enumeration date
11/30/2006
Last updated
01/30/2020
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