Individual
TAJ N BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
395 W COUGAR BLVD STE 801, PROVO, UT 84604-3311
(801) 229-1054
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
269427-1205
UT
Other
Enumeration date
05/01/2007
Last updated
04/21/2026
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