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Mr. Dewayne Albert Beck, HSC
Military Health Care Provider in Petaluma, California
NPI 1467593145

Dewayne Albert Beck is a Military Health Care Provider based in Petaluma, CA. Dewayne Albert Beck practices in Petaluma, CA and has the professional credentials of HSC. The NPI Number for Dewayne Albert Beck is 1467593145 and holds a License No. (California).

The current practice location address for Dewayne Albert Beck is 599 Tomales Rd, Petaluma, CA and can be reached out via phone at 707-765-7525 and via fax at 707-765-7495.

Location: 599 Tomales Rd, Petaluma, CA, 94952-5002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467593145
Provider Name
Dewayne Albert Beck
Credential
HSC
Provider Entity Type
Individual
Gender
Male
Address
599 Tomales Rd, Petaluma, CA, 94952-5002
Phone Number
707-765-7525
Fax Number
707-765-7495
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
599 Tomales Rd
City
Petaluma
State
California
Zip
94952-5002
Phone Number
707-765-7525
Fax Number
707-765-7495
person
Provider Business Mailing Address Details
Address
599 Tomales Rd
City
Petaluma
State
California
Zip
94952-5002
Phone Number
707-765-7525
Fax Number
707-765-7495
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
(California)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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