Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 2771 | SD |
Y | 208600000X | Surgeon | 2771 | SD |
NPI | 1023083797 |
---|---|
Provider Name | Dr. Eldon R. Becker |
First Address | Pierre, SD 57501 |
Second Address | Pierre, SD 57501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 23/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7301090 | (05) | SD |
7301093 | (05) | SD |
E25399 | (02) | SD |