IndividualActive
Roland Beckman, CCP
NPI 1730316787 · Perfusionist · Idaho Falls, ID
Provider details
- NPI number
- 1730316787
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP
- Sex
- Male
- Sole proprietor
- No
- License
- 090909 (CA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
156 S 45th W
Idaho Falls, ID 83402-5542
Phone: (208) 521-6337
Fax: (650) 615-9995
Approximate (ZIP-level) locationGet directions
Mailing address
156 S 45th W
Idaho Falls, ID 83402-5542
Registry dates
- Enumerated
- 2009-06-17
- Last updated
- 2009-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.