Individual
AMY L BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2121 E HARMONY RD UNIT 170, FORT COLLINS, CO 80528-3413
(970) 493-6337
(970) 493-3528
Mailing address
2315 E HARMONY RD STE 160, FORT COLLINS, CO 80528-8620
(970) 482-3328
(970) 482-1433
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1442
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019017
KAISER COMMERCIAL NUMBER
CO
05
—
38725231
—
CO
Enumeration date
01/18/2007
Last updated
03/27/2024
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