Individual
MRS. AMBER LEIGH BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3000
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3462
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2005003650
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005003650
MISSOURI LICENSE
MO
05
—
220024600
—
MO
Enumeration date
10/17/2006
Last updated
06/16/2022
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