Individual
DR. MARK JOHN BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N HIGHLAND SPRINGS AVE, BANNING, CA 92220-3046
(951) 845-1121
Mailing address
600 N HIGHLAND SPRINGS AVE, BANNING, CA 92220-3046
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
G27503
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G27503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G275030
—
CA
Enumeration date
12/22/2005
Last updated
08/02/2016
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