Individual
DR. RICKY C. BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
(701) 323-5918
Mailing address
1500 INTERCHANGE AVE, STE 100, BISMARCK, ND 58501-2079
(701) 530-3333
(701) 530-3009
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
6735
ND
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
6735
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1462620
—
ND
Enumeration date
09/01/2006
Last updated
12/12/2019
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