Doctor Name: | DR. PHILIP BECKER |
NPI Number: | 1225057862 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 20A3649 |
Business Practice Address: | 78822 Highway 111 La Quinta, CA - 922532046 |
Business Phone Number: | 7605647000 |
Business Fax Number: | 7603282191 |
Mailing Address: | 560 S Paseo Dorotea, Suite 2 PALM SPRINGS |
State: | CA |
Postal Code: | 922641434 |
Phone Number: | 7603204431 |
Fax Number: | 7604167236 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 09/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A3649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |