Individual provider · NPI-1

Ian James Becker, MD

Emergency Medicine · Columbia, MO

NPI number1043730716
StatusActive
Last updated in NPPESJun 29, 2017

Details

NPI
1043730716
Entity type
Individual (NPI-1)
Name
Ian James Becker
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 23, 2017
Last updated
Jun 29, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine2017020329MOYes

Practice location

1 Hospital Dr # Dc029.10
Columbia, MO 65212-1000

Phone 573-884-3233 · Fax 573-884-5994

Mailing address

1 Hospital Dr Ste M562
Columbia, MO 65212-1000

Phone 573-884-3233

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