Individual
ERIC WAYNE BECKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 W 86TH ST, DEPARTMENT OF MEDICAL EDUCATION, INDIANAPOLIS, IN 46260-1902
(317) 338-2281
(317) 338-6359
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01078478A
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01078478A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2011
Last updated
03/21/2024
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