Healthcare Provider Details

I. General information

NPI: 1467593145
Provider Name (Legal Business Name): DEWAYNE ALBERT BECK HSC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 TOMALES RD USCG TRACEN PETALUMA
PETALUMA CA
94952-5002
US

IV. Provider business mailing address

599 TOMALES RD USCG TRACEN PETALUMA
PETALUMA CA
94952-5002
US

V. Phone/Fax

Practice location:
  • Phone: 707-765-7525
  • Fax: 707-765-7495
Mailing address:
  • Phone: 707-765-7525
  • Fax: 707-765-7495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: