Individual
JOHN BECKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 W KEETOOWAH ST, TAHLEQUAH, OK 74464-3820
(918) 708-9474
Mailing address
118 W KEETOOWAH ST, TAHLEQUAH, OK 74464-3820
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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