Individual
ALBERT E BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. LLC
Contact information
Practice address
362 S BURNETT RD, SPRINGFIELD, OH 45505-2604
(937) 206-7922
Mailing address
PO BOX 687, SUITE O, SPRINGFIELD, OH 45501-0687
(937) 206-7922
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34785
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399859
—
OH
Enumeration date
02/15/2007
Last updated
10/07/2015
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