Individual
DR. JONATHAN W BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 240-7773
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 240-7773
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD00027574
WA
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
MD00027574
WA
2080P0201X
Pediatric Allergy/Immunology Physician
MD00027574
WA
Other
Enumeration date
06/20/2006
Last updated
12/28/2021
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