Individual
BETH PAYNE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13555 W MCDOWELL RD, SUITE 304, GOODYEAR, AZ 85395-2624
(623) 935-5522
(623) 935-3220
Mailing address
13555 W MCDOWELL RD, SUITE 304, GOODYEAR, AZ 85395-2624
(623) 935-5522
(623) 935-3220
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3804
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1077836
NCCPA
—
05
—
366422
—
AZ
01
—
3804
PHYSICIAN ASSIST LICENSE
AZ
Enumeration date
02/12/2008
Last updated
06/01/2009
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