Doctor Name: | DR. JARRETTE ALLEN BECK JR. |
NPI Number: | 1134256233 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 31329 |
Business Practice Address: | 106 Blanca Ave Sierra Blanca Medical Clinic Alamosa, CO - 811012340 |
Business Phone Number: | 7195893658 |
Business Fax Number: | |
Mailing Address: | Po Box 935, 721 White Rock Ave. CRESTED BUTTE |
State: | CO |
Postal Code: | 812240935 |
Phone Number: | 9702095070 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 11/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 31329 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |