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Individual

JOANNA BECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3280 E LANARK ST, MERIDIAN, ID 83642-5983
(208) 895-8670
(208) 955-0494
Mailing address
10482 W CARLTON BAY DR, GARDEN CITY, ID 83714-5143
(208) 955-6500
(208) 955-6501

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1063295152
ID
363A00000X
Physician Assistant
Primary
4671984
ID

Other

Enumeration date
08/14/2023
Last updated
02/03/2026
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