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Individual

MR. BEN L BECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
420 BAYSHORE DR, HOT SPRINGS, AR 71901-9244
(501) 282-3824
(501) 262-5000
Mailing address
420 BAYSHORE DR, HOT SPRINGS, AR 71901-9244
(501) 282-3824
(501) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C00905
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125726701
ARKANSAS MEDICAID
AR
01
5F648
ARKANSAS BLUE CROSS BLUE SHIELD
AR
01
5F648C910
ARKANSAS MEDICARE
AR
01
P00291405
RR MEDICARE GROUP CK6327
Enumeration date
10/11/2005
Last updated
08/15/2011
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