Individual
DR. DAVID A BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1402 WEST 4TH STREET, GILLETTE, WY 82716-3328
(307) 682-2233
(307) 682-2165
Mailing address
1402 WEST 4TH STREET, GILLETTE, WY 82716-3328
(307) 682-2233
(307) 682-2165
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5479A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076653
MEDICAID OF MT
MT
01
—
312599
BCBS OF WY
WY
Enumeration date
08/17/2006
Last updated
07/08/2007
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