Individual
ANDREW BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
825 SE BISHOP BLVD STE 200, PULLMAN, WA 99163-5537
(509) 332-2517
Mailing address
825 SE BISHOP BLVD, STE 200, PULLMAN, WA 99163-5537
(208) 669-1287
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
GPA-048
ID
363A00000X
Physician Assistant
Primary
PA60270415
WA
363AM0700X
Medical Physician Assistant
PA-936
ID
363AM0700X
Medical Physician Assistant
PA60270415
WA
Other
Enumeration date
10/22/2011
Last updated
02/14/2017
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