Individual
MR. JOSHUA M BEARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8433 N BLACK CANYON HWY STE 180, PHOENIX, AZ 85021-4800
(602) 565-3701
Mailing address
6729 N 183RD AVE, WADDELL, AZ 85355-9704
(602) 565-3701
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B10619458
AZ
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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