Organization
BRADLEY K BECKER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY K BECKER D.O. (OWNER)
(602) 867-1302
Entity
Organization
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) 439-1111
(602) 867-4247
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
3803
AZ
Other
Enumeration date
02/01/2008
Last updated
05/11/2020
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