Individual
SAMUEL BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23813 E APPLEWAY AVE, LIBERTY LAKE, WA 99019-9684
(509) 928-6383
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101258699
VA
208000000X
Pediatrics Physician
Primary
MD61270008
WA
Other
Enumeration date
02/09/2014
Last updated
08/22/2023
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