Philip M Beck, D.O

Individual provider Active NPI Occupational Medicine Physician · Tinker Afb, OK

NPI 1154353282 · NPPES record last updated Dec 28, 2022

Key facts

NPI
1154353282
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Medicine Physician 2083X0100X
License
4258 (OK)
Practice address
5700 Arnold St
72 MDG Flight Medicine
Tinker Afb, OK 73145-8105
Phone
(405) 736-2820
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4258OKMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4258 OK
Occupational Medicine Physician 2083X0100X 4258 OK Yes

Addresses

Primary practice location

5700 Arnold St
72 MDG Flight Medicine
Tinker Afb, OK 73145-8105

Mailing address

5700 Arnold St
72 MDG Flight Medicine
Tinker Afb, OK 73145-8105
Phone (405) 736-2820

Other providers in Tinker Afb, OK

All providers in Tinker Afb, OK · Occupational Medicine Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.