Individual
BRENT BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1106 KUDER LN, WARSAW, IN 46582-6421
(847) 826-2316
Mailing address
1106 KUDER LN, WARSAW, IN 46582-6421
(847) 826-2316
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002483A
IN
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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