Individual provider · Type 1 NPI
Dewayne Albert Beck, HSC
Military Health Care Provider · Petaluma, CA
NPI number
1467593145
Active
Practice location
599 Tomales Rd, Uscg Tracen Petaluma
Petaluma, CA 94952-5002
Fax (707) 765-7495
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: 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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About NPI 1467593145
Dewayne Albert Beck, HSC's National Provider Identifier is 1467593145, issued on Feb 8, 2007. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Petaluma, CA. The record was last updated on Jul 8, 2007.