Organization
RUSSELL A. BECK, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL A. BECK M.D. (PRESIDENT)
(480) 644-1001
Entity
Organization
Contact information
Practice address
4824 E BASELINE RD, SUITE 129, MESA, AZ 85206-4676
(480) 644-1001
(480) 464-8722
Mailing address
4824 E BASELINE RD, SUITE 129, MESA, AZ 85206-4676
(480) 644-1001
(480) 464-8722
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17248
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288036
—
AZ
Enumeration date
08/05/2007
Last updated
08/05/2007
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