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Individual

ADAM HARTY BECKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-8091
(573) 884-1902
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2006011644
MO
207P00000X
Emergency Medicine Physician
P3856
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201285301
MO
01
751780
HEALTHLINK
MO
Enumeration date
08/20/2006
Last updated
08/16/2022
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