NPI 1003040106

Bryon Lucas Beck, PAC

Practitioner Physician Assistant Saint Louis, MO

Practice location

Address: 3009 N Ballas Rd Building B, Suite 202, Saint Louis, MO 63131-2322
Phone: (314) 995-6893

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2009010643 (MO)

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Registry record

NPI: 1003040106
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 2009
Record last updated: 14 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.