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Individual

AMANDA A. BECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7113 DEEPWATER POINT RD, WILLIAMSBURG, MI 49690-9249
(505) 379-7333
(505) 379-7333
Mailing address
7113 DEEPWATER POINT RD, WILLIAMSBURG, MI 49690-9249
(505) 379-7333
(505) 379-7333

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01075939A
IN
207R00000X
Internal Medicine Physician
Primary
82-162
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
322868
AZ
05
36756
NM
05
91821629
CO
Enumeration date
10/03/2006
Last updated
01/14/2016
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