Provider Demographics
NPI:1245868314
Name:BECK, ZOE ELLEN (DO)
Entity type:Individual
Prefix:DR
First Name:ZOE
Middle Name:ELLEN
Last Name:BECK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ZOE
Other - Middle Name:ELLEN
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:5350 EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-2738
Mailing Address - Country:US
Mailing Address - Phone:563-355-1853
Mailing Address - Fax:
Practice Address - Street 1:5350 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-2738
Practice Address - Country:US
Practice Address - Phone:563-355-1853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADO-06719207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology