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BLAKE BECK PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1104483783

Individual Registrant:
 BLAKE  BECK PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
726 4TH ST  MARYSVILLE, CA 95901-5656 US
Tel: 530-749-4300  Fax: --

Contact information for business:
1716 O ST APT 209  SACRAMENTO, CA 95811-6190 US
Tel: 559-730-8517  Fax: --

Registration Information:
NPI: 1104483783
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CAPA56794

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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