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Individual

TIMOTHY D BECKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10120 S EASTERN AVE, #200, HENDERSON, NV 89052
(702) 222-3238
(702) 221-2231
Mailing address
10120 S EASTERN AVE, #200, HENDERSON NV, NV 89052
(702) 222-3238
(702) 221-2231

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10395
NV
207L00000X
Anesthesiology Physician
C138537
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100500198
NV
Enumeration date
03/09/2006
Last updated
03/12/2025
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