Individual
JAMES LEE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35303 CABERNET CIR, WAUKEE, IA 50263-7047
(515) 371-6996
Mailing address
35303 CABERNET CIR, WAUKEE, IA 50263-7047
(515) 371-6996
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
27451
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063685
—
IA
01
—
050036215
RAILROAD MEDICARE #
IA
01
—
27451
TRICARE PROVIDER #
IA
01
—
29841
BLUE SHIELD PROVIDER #
IA
01
—
IA0146
JOHN DEERE PROVIDER #
IA
Enumeration date
12/20/2005
Last updated
09/30/2021
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