Individual
WILLIAM WILSON BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
(573) 443-0574
Mailing address
1 S KEENE ST, P.O. BOX O, COLUMBIA, MO 65201-7199
(573) 443-2402
(573) 443-0574
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34569
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207282500
—
MO
Enumeration date
08/30/2005
Last updated
07/30/2008
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