Provider Demographics
NPI:1780830190
Name:BECK, JAMES P (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:BECK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2711 ALLEN BLVD STE 300
Mailing Address - Street 2:DEAN FOUNDATION - BSP FREE CLINIC
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-2287
Mailing Address - Country:US
Mailing Address - Phone:608-827-2300
Mailing Address - Fax:608-827-2399
Practice Address - Street 1:2711 ALLEN BLVD STE 300
Practice Address - Street 2:DEAN FOUNDATION - BSP FREE CLINIC
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-2287
Practice Address - Country:US
Practice Address - Phone:608-827-2308
Practice Address - Fax:608-827-2344
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI14965207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology