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Individual

BETH LOCKHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
3333 N 7TH AVE, PHOENIX, AZ 85013-4108
(602) 416-7600
Mailing address
PO BOX 32114, PHOENIX, AZ 85064-2114
(602) 799-1077

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2280
AZ
363A00000X
Physician Assistant

Other

Enumeration date
10/11/2006
Last updated
07/31/2020
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