Individual
MICHAEL D. BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3980 S EASTERN AVE, LAS VEGAS, NV 89119-5102
(702) 724-8787
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-0814
(702) 877-3238
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
DO1538
NV
2085R0203X
Therapeutic Radiology Physician
5101015443
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01251215
RR MEDICARE
NV
Enumeration date
08/02/2006
Last updated
11/18/2024
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