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Individual

DR. ROGER GARY BECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
619 S MARION AVE, SURGICAL SERVICES, LAKE CITY, FL 32025-5808
(386) 755-3916
Mailing address
20274 NW 251ST TER, HIGH SPRINGS, FL 32643-2357
(386) 755-3016

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 2071
FL

Other

Enumeration date
10/14/2005
Last updated
09/01/2007
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