Individual
STEPHEN D BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1345 UNITY PL, SUITE 110A, LAFAYETTE, IN 47905-5760
(765) 447-9308
(765) 447-2387
Mailing address
1200 W WHITE RIVER BLVD, RCS PE COORDINATOR, MUNCIE, IN 47303-4988
(765) 751-5784
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01046363A
IN
208800000X
Urology Physician
036-133887
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200436460
—
IN
Enumeration date
09/21/2005
Last updated
03/13/2020
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