Individual
DR. MATTHEW WILLIAM BEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5150 E GLENN ST, TUCSON, AZ 85712-1337
(520) 795-7729
(520) 795-4177
Mailing address
5150 E GLENN ST, TUCSON, AZ 85712-1337
(520) 795-7729
(520) 795-4177
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
47563
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
838508
—
AZ
Enumeration date
05/28/2010
Last updated
09/17/2020
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