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NPI Code Detail

MEDICARE: MR. PAUL ANDREW BECKER PA-C

MEDICARE:  MR. PAUL ANDREW BECKER  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1102647OTHERAKALASKA STATE MEDICAL BOARD

General Provider Information

NPI Number : 1831173889
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL ANDREW BECKER PA-C
Provider Business Mailing Address
First Line : 3730 RHONE CIR
Second Line : SUITE 203
City : ANCHORAGE
State : AK
Zip : 99508-5054
Country : US
Telephone Number : 907-563-3515
Fax Number : 907-563-3541
Provider Business Practice Location Address
First Line : 3730 RHONE CIR
Second Line : SUITE 203
City : ANCHORAGE
State : AK
Zip : 99508-5054
Country : US
Telephone Number : 907-563-3515
Fax Number : 907-563-3541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 12/09/2015

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Directions to “ MR. PAUL ANDREW BECKER PA-C” Practice Location

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