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Individual

CHRISTINA L BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAA

Contact information

Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(888) 484-3258
(317) 944-2443
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
67000023
OH
367H00000X
Anesthesiologist Assistant
Primary
75000060A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001409456
ANTHEM PTAN
IN
05
2272704
OH
Enumeration date
07/21/2005
Last updated
11/22/2024
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