Healthcare Provider Details

I. General information

NPI: 1891769543
Provider Name (Legal Business Name): TARA P. BECKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2006
Last Update Date: 12/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 HIGH ST SUITE 230
DENVER CO
80205-5503
US

IV. Provider business mailing address

6091 S KALISPELL ST
CENTENNIAL CO
80016-4749
US

V. Phone/Fax

Practice location:
  • Phone: 303-860-9990
  • Fax: 303-839-7761
Mailing address:
  • Phone: 303-408-2088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number40085
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number40085
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: