Provider Demographics
NPI:1215933882
Name:BECK, JAMES L (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:BECK
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Gender:M
Credentials:DO
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Mailing Address - Street 1:4550 EAST BELL ROAD
Mailing Address - Street 2:158
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-9382
Mailing Address - Country:US
Mailing Address - Phone:602-923-2222
Mailing Address - Fax:602-482-0210
Practice Address - Street 1:4550 EAST BELL ROAD
Practice Address - Street 2:158
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-9382
Practice Address - Country:US
Practice Address - Phone:602-923-2222
Practice Address - Fax:602-482-0210
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2013-10-02
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Provider Licenses
StateLicense IDTaxonomies
AZ1301207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ236605Medicaid
AZ236605Medicaid
Z134569Medicare PIN