Individual
DR. JONATHAN S BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3945 E. PARADISE FALLS DRIVE, SUITE 201, TUCSON, AZ 85712-6687
(520) 290-5888
(520) 290-5551
Mailing address
3945 E. PARADISE FALLS DRIVE, SUITE 201, TUCSON, AZ 85712-6687
(520) 290-5888
(520) 290-5551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036066423
IL
207R00000X
Internal Medicine Physician
51028
AZ
208M00000X
Hospitalist Physician
Primary
51028
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609994987
GROUP PRACTICE NPI
IL
01
—
C30167
RAILROAD MEDICARE PTAN
IL
Enumeration date
07/14/2006
Last updated
11/19/2015
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