Individual
MRS. HOLLY NOEL BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 E AJO WAY STE 200, BANNER - UNIVERSITY MEDICAL GROUP, TUCSON, AZ 85713
(520) 694-8000
(520) 874-4801
Mailing address
PO BOX 2917, BANNER - UNIVERSITY MEDICAL GROUP, PHOENIX, AZ 85062-2917
(970) 395-7878
(970) 395-7880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35375
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222954
—
AZ
01
—
35375
STATE LICENSE
AZ
01
—
P00447250
RAILROAD MEDICARE
AZ
Enumeration date
06/19/2007
Last updated
01/18/2018
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