Individual
W. GARY BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2302 S UNION AVE STE B18, TACOMA, WA 98405-1333
(253) 756-0112
(253) 756-0786
Mailing address
2302 S UNION AVE STE B18, TACOMA, WA 98405-1333
(253) 756-0112
(253) 756-0786
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD00011964
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1387505
—
WA
Enumeration date
07/27/2006
Last updated
07/08/2007
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