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Contact Information

BRADLEY K BECKER, D.O., P.C.
18555 N 79TH AVE STE B102
GLENDALE, AZ85308-8372
 Phone: 602-610-9111
 Fax: 602-867-4247
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BRADLEY K BECKER · (Male)

NPI Number 1245307396
Status Active
Credentials D.O., P.C.
Entity Individual
Enumeration date 11/30/2006
Last updated 01/30/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 3803
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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