Individual
DR. BRUCE DAVID BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11862 SUNRISE VALLEY DR, SUITE 101, RESTON, VA 20191-3302
(703) 620-5808
Mailing address
11862 SUNRISE VALLEY DR, SUITE 101, RESTON, VA 20191-3302
(703) 620-5808
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000521
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40177
MAMSI INS CO.
—
Enumeration date
09/24/2006
Last updated
07/08/2007
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