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NPI Code Detail

MEDICARE: DR. KAREN M. MARIE BECK DDS

MEDICARE:  DR. KAREN M. MARIE BECK  DDS
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
11223G0001XGeneral Practice Dentistry48885CA
21223G0001XGeneral Practice DentistryD-4884ID

General Provider Information

NPI Number : 1568510014
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN M. MARIE BECK DDS
Provider Business Mailing Address
First Line : PO BOX 2562
Second Line :
City : EAGLE
State : ID
Zip : 83616
Country : US
Telephone Number : 707-616-2562
Fax Number :
Provider Business Practice Location Address
First Line : 813 N STILSON RD STE B
Second Line :
City : BOISE
State : ID
Zip : 83703-5119
Country : US
Telephone Number : 208-345-2008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 05/01/2018

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Directions to “ DR. KAREN M. MARIE BECK DDS” Practice Location

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