Individual
MR. VINCENT ASTOR BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 S EDWARDS AVE, MOUNDRIDGE, KS 67107-7169
(623) 692-6571
Mailing address
801 S EDWARDS AVE, MOUNDRIDGE, KS 67107-7169
(623) 692-6571
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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