Individual
DANIELLE L BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1101 LOGAN BLVD, ALTOONA, PA 16602-4029
(814) 943-9879
(814) 943-1808
Mailing address
1101 LOGAN BLVD, ALTOONA, PA 16602-4029
(814) 943-9879
(814) 943-1808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054960
PA
363A00000X
Physician Assistant
OA002675
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033595200001
—
PA
Enumeration date
07/26/2011
Last updated
10/11/2022
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