Individual provider · NPI-1

John David Becker

Family Medicine · Santa Fe, NM

NPI number1124108949
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1124108949
Entity type
Individual (NPI-1)
Name
John David Becker
Sex
Male
Sole proprietor
No
Enumeration date
Oct 16, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine89-151NMYes

Practice location

7 Avenida Vista Grande Ste D-6
Santa Fe, NM 87508

Phone 505-466-6080

Mailing address

7 Avenida Vista Grande Ste D-6
Santa Fe, NM 87508

Phone 505-466-6080

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