Individual
DR. BRENDA SUE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
810 W MAIN ST, SUITE B, GENEVA, OH 44041-1259
(440) 415-0138
Mailing address
810 W MAIN ST, SUITE B, GENEVA, OH 44041-1259
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
34.010805
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
34.010805
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2011
Last updated
03/19/2017
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