Individual
BECK NICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
234 N OAK ST, COLVILLE, WA 99114-2948
(509) 684-1104
(509) 684-0242
Mailing address
234 N OAK ST, COLVILLE, WA 99114-2948
(509) 680-0103
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
NT60697247
WA
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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