Most Relevant Information
Provider Data
| NPI Number: | 1003040106 |
| Provider Name: | BRYON LUCAS BECK PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 2009010643 |
Most Important Dates
| Enumeration Date: | 05/05/2009 |
| Last Updated: | 01/14/2021 |
Provider Practice Location
3009 N BALLAS RD
BUILDING B, SUITE 202
SAINT LOUIS
MO
631312322
Practice Location Phone/Fax
| Phone: | 3149956893 |
| Fax: |
Provider Mailing Location
3009 N BALLAS RD
BUILDING B, SUITE 202
SAINT LOUIS
MO
631312322
Provider Mailing Phone/Fax
| Phone: | 3149956839 |
| Fax: |