Individual
MR. MICHAEL R BECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
900 N ORANGE ST STE 106, MISSOULA, MT 59802-2951
(406) 327-3100
(406) 327-3141
Mailing address
2425 BIG FLAT RD, MISSOULA, MT 59804-9466
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000095633
BLUE CROSS BLUE SHIELD
MT
05
—
4303195
—
MT
Enumeration date
06/06/2006
Last updated
05/04/2020
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