Individual
GRETCHEN S BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
941 GLENWOOD STATION LANE, SUITE #103, CHARLOTTESVILLE, VA 22901-1697
(434) 977-6673
(434) 220-3197
Mailing address
941 GLENWOOD STATION LANE, SUITE #103, CHARLOTTESVILLE, VA 22901-1697
(434) 977-6673
(434) 220-3197
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
0101225810
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147589
SOUTHERN HEALTH ID
VA
01
—
323663
ANTHEM/TRIGON/BCBS ID
VA
Enumeration date
06/13/2006
Last updated
08/16/2010
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