Provider Demographics
NPI:1881601607
Name:BECKER, STEVEN ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ARTHUR
Last Name:BECKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 51888
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82605-1888
Mailing Address - Country:US
Mailing Address - Phone:307-995-8100
Mailing Address - Fax:307-995-8137
Practice Address - Street 1:6550 E 2ND ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-4321
Practice Address - Country:US
Practice Address - Phone:307-995-8100
Practice Address - Fax:307-995-8137
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40334207X00000X
WY9838A207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA40334OtherSTATE LICENSE
B98904Medicare UPIN
CA0381910001Medicare NSC