Organization
SOUTHWEST WASHINGTON ANESTHESIA PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL BECKFORD M.D. (SECRETARY TREASURER)
(360) 943-8470
Entity
Organization
Contact information
Practice address
1900 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 943-8470
Mailing address
1825 FOREST HILL DR SE, OLYMPIA, WA 98501-3736
(360) 943-8470
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00027037
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207L00000X
—
WA
Enumeration date
02/28/2007
Last updated
03/30/2011
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