Individual
BRYAN L BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
47 PLEASANT VW, HARRISON, ME 04040-4039
(207) 583-6103
(207) 583-6096
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1015
ME
207P00000X
Emergency Medicine Physician
1015
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30223010
—
NH
05
—
329760099
—
ME
Enumeration date
07/03/2006
Last updated
01/03/2011
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