Individual
NATHANIAL CORY BEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13400 E SHEA BLVD STE 290, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
13400 E SHEA BLVD STE 290, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4919
AZ
363A00000X
Physician Assistant
PA60128266
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685289
—
AZ
Enumeration date
01/07/2010
Last updated
07/11/2023
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