Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 05-862 | AZ |
NPI | 1003043068 |
---|---|
Provider Name | Dr. Beth Leahy Poindexter |
First Address | Tucson, AZ 85712-4078 |
Second Address | Tucson, AZ 85712-4078 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2009 |
Last Update Date | 15/02/2011 |