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Individual

MR. RICHARD W BECKMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Mailing address
PO BOX 3549, CHATTANOOGA, TN 37404-0549
(423) 698-3309
(423) 624-6355

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN11072
TN
367500000X
Certified Registered Nurse Anesthetist
RN140939
GA
367500000X
Certified Registered Nurse Anesthetist
RN96791
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3100096
BCBS
TN
05
3626801
TN
Enumeration date
02/22/2006
Last updated
10/06/2014
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