Provider Demographics
NPI:1528579083
Name:BENDOKAITIS, BETH ANN (NMD)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:ANN
Last Name:BENDOKAITIS
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23425 N SCOTTSDALE RD # A-4
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-3469
Mailing Address - Country:US
Mailing Address - Phone:408-338-8070
Mailing Address - Fax:
Practice Address - Street 1:23425 N SCOTTSDALE RD # A-4
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-3469
Practice Address - Country:US
Practice Address - Phone:480-513-8812
Practice Address - Fax:480-512-8813
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ171641175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath