Individual
GARY L BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0542
(812) 485-5620
(812) 485-5624
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01028924A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227227
BLUE CROSS
IN
05
—
100246700A
—
IN
Enumeration date
08/29/2006
Last updated
07/13/2010
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