Doctor Name: | MELISSA CARYL BECKMANN |
NPI Number: | 1043448558 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 15925 |
Business Practice Address: | 4700 Las Vegas Blvd N Bldg 1300 Nellis Afb, NV - 891916600 |
Business Phone Number: | 7026532344 |
Business Fax Number: | |
Mailing Address: | 4700 Las Vegas Blvd N, Bldg 1300 NELLIS AFB |
State: | NV |
Postal Code: | 891916600 |
Phone Number: | 7026532344 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2009 |
NPI Last Update Date: | 01/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15925 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |