Individual
DR. DUSTIN RYAN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 S. BLISS AVE., TAHLEQUAH, OK 74464-3324
(918) 458-3100
Mailing address
100 S. BLISS AVE., TAHLEQUAH, OK 74464-3324
(918) 458-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5182
OK
208600000X
Surgery Physician
5182
OK
Other
Enumeration date
02/13/2012
Last updated
07/29/2022
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