Provider Demographics
NPI:1831287242
Name:BECH, FRITZ R (MD)
Entity Type:Individual
Prefix:DR
First Name:FRITZ
Middle Name:R
Last Name:BECH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 281490
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-1490
Mailing Address - Country:US
Mailing Address - Phone:801-743-4750
Mailing Address - Fax:801-743-4756
Practice Address - Street 1:1160 E 3900 S STE 3100
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-1202
Practice Address - Country:US
Practice Address - Phone:801-262-2806
Practice Address - Fax:801-262-2023
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD061780L2086S0129X
MS254292086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1689721219Medicaid
PAF36729Medicare UPIN
PA483744Medicare ID - Type Unspecified