Provider Demographics
NPI:1811262843
Name:BECKER, PATRICIA GALLAGHER (MD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:GALLAGHER
Last Name:BECKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3368 E CAMINO BOSCAJE ESCONDIDO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-7477
Mailing Address - Country:US
Mailing Address - Phone:520-299-2567
Mailing Address - Fax:
Practice Address - Street 1:3368 E CAMINO BOSCAJE ESCONDIDO
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-7477
Practice Address - Country:US
Practice Address - Phone:520-299-2567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60668208000000X
IN01027769A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics