Individual
ROBERT GARY BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A7614
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX76140
—
CA
01
—
020A76141
MEDICARE PTAN
CA
01
—
020A76143
MEDICARE PTAN
CA
01
—
020A76144
MEDICARE PTAN
CA
01
—
020A76145
MEDICARE PTAN
CA
Enumeration date
06/16/2006
Last updated
10/27/2023
Update your record
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