Individual
MR. BRIAN RANDALL BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14780 W. MOUNTAIN VIEW BLVD., SUITE 110, SURPRISE, AZ 85374-7280
(623) 374-7774
(877) 796-5302
Mailing address
4040 E. ADOBE DRIVE, PHOENIX, AZ 85050
(602) 621-1717
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3015
AZ
Other
Enumeration date
06/28/2006
Last updated
07/24/2015
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