Individual
DR. MARK BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-9506
(614) 566-8224
Mailing address
PO BOX 951822, CLEVELAND, OH 44193-0020
(216) 464-5160
(216) 464-5982
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35067132
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0983931
—
OH
Enumeration date
08/09/2005
Last updated
05/14/2015
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