Individual
JIMMY BRANT BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-3730
Mailing address
PO BOX 37215, BALTIMORE, MD 21297-3215
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A92693
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A926930
—
CA
Enumeration date
05/08/2007
Last updated
03/17/2011
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