Individual
RUSSELL W BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1875 VETERANS PARK DR STE 2203, NAPLES, FL 34109-0596
(239) 431-5884
(239) 631-6907
Mailing address
1875 VETERANS PARK DR STE 2203, NAPLES, FL 34109-0596
(239) 431-5884
(239) 631-6907
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
OS12827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16508
M-CARE
MI
Enumeration date
01/25/2006
Last updated
09/22/2020
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