Healthcare Provider Details

I. General information

NPI: 1881601607
Provider Name (Legal Business Name): STEVEN ARTHUR BECKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 02/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 E 2ND ST
CASPER WY
82609-4321
US

IV. Provider business mailing address

PO BOX 51888
CASPER WY
82605-1888
US

V. Phone/Fax

Practice location:
  • Phone: 307-995-8100
  • Fax: 307-995-8137
Mailing address:
  • Phone: 307-995-8100
  • Fax: 307-995-8137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA40334
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number9838A
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: