Individual
BRANDON BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1218 9TH ST STE 10, RUPERT, ID 83350-2207
(208) 436-8340
Mailing address
1218 9TH ST STE 10, RUPERT, ID 83350-2207
(208) 436-8340
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
O-1383
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/05/2014
Last updated
08/28/2020
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