Individual
PHILLIP J BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 N FOSTER ST, MITCHELL, SD 57301-2966
(605) 995-2000
(605) 995-5645
Mailing address
PO BOX 5126, SIOUX FALLS, SD 57117-5126
(605) 335-1952
(605) 373-9971
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4658
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006923
BCBS
SD
01
—
050072898
RAILROAD MEDIARE
SD
05
—
5707240
—
SD
Enumeration date
06/16/2006
Last updated
02/21/2013
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