Individual
COURTNEY DAWN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 VIRGINIA AVE, PONCA CITY, OK 74601-2911
(580) 767-1300
Mailing address
609 VIRGINIA AVE, PONCA CITY, OK 74601-2911
(580) 767-1300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
114566
OK
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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