Individual
GARY A BETZ
Active
Individual
GARY A BETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32580
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z2576
HEALTH NET
AZ
01
—
7944569
AETNA
AZ
01
—
872483
AHCCCS
AZ
05
—
872483
—
AZ
01
—
AZ0785250
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/16/2005
Last updated
03/09/2012
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