Individual
JENNIFER LYNN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
610 8TH ST SE, CEDAR RAPIDS, IA 52401-2143
(319) 398-6170
(319) 398-6466
Mailing address
610 8TH ST SE, CEDAR RAPIDS, IA 52401-2143
(319) 398-6170
(319) 398-6466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36301
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0451443
—
IA
05
—
1053375022
—
IA
01
—
P00708686
RR MEDICARE
IA
Enumeration date
04/14/2006
Last updated
05/17/2012
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