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Individual

DR. ROBERT JOSEPH BECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MADC

Contact information

Practice address
2250 GAUSE BLVD E, SUITE 302, SLIDELL, LA 70461-4235
(985) 643-9332
(985) 643-9285
Mailing address
2250 GAUSE BLVD E, SUITE 302, SLIDELL, LA 70461-4235
(985) 643-9332
(985) 643-9285

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
828
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2877-A
BLUE CROSS PROVIDER NO.
LA
Enumeration date
02/14/2007
Last updated
03/31/2008
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