Search › Arizona › 103TC0700X

Wayne Beaver, PH. D

NPI 1679658538 · on the registry since 2006

Practice

Address
Luke Air Force Base
Bldg 317
Glendale, AZ 85309
Phone
(623) 856-7579
Fax
(623) 856-4433

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona