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Contact Information

CHARLES L BECK JR, MD
96 E KIMBALLS LN STE 207
DRAPER, UT84020-5025
 Phone: 801-576-2300
 Fax: 844-249-1746
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHARLES L BECK JR · (Male)

NPI # 1528124815
Status Active
Credentials MD
Entity Individual
Enumeration date 12/29/2006
Last updated 02/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 177223-1205
  • UT Medicaid 1265638357
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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