# PHILLIP J BECKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1427092634
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 4658 | SD | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 02/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0006923 | BCBS | SD |
| 01 | — | 050072898 | RAILROAD MEDIARE | SD |
| 05 | — | 5707240 | — | SD |