Individual
DR. JACOB JOSEPH BECKER
Active
Individual
DR. JACOB JOSEPH BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2011019836
MO
2085R0202X
Diagnostic Radiology Physician
DR.0056443
CO
2085R0202X
Diagnostic Radiology Physician
Primary
MD2016-0110
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011019836
MISSOURI STATE LICENSE
MO
Enumeration date
08/12/2011
Last updated
06/24/2016
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