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Individual

DR. TERRY S. BECKER

Active
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Individual

DR. TERRY S. BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MEDICAL DOCTOR

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G24684
CA
2085N0904X
Nuclear Radiology Physician
G24684
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G24684
CA
2085R0204X
Vascular & Interventional Radiology Physician
G24684
CA
2085U0001X
Diagnostic Ultrasound Physician
G24684
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G246840
—
CA
Enumeration date
10/25/2005
Last updated
02/23/2012
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