Individual
JERRY W. BECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-3707
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-3707
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD12663
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000263067
HMSA BILLING NUMBER
—
05
—
582389-03
—
HI
Enumeration date
07/12/2006
Last updated
05/01/2024
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