Individual
BRET BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
Mailing address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.130248
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255962
—
OH
Enumeration date
04/28/2014
Last updated
02/22/2019
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