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Individual

CHARLES K BEDARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
515 MINOR AVE, SUITE 220, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 386-9605
Mailing address
PO BOX 3489, SEATTLE, WA 98114-3489
(206) 386-9500
(206) 386-9605

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00016357
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100005855
RAILROAD MEDICARE
WA
01
49309
HL
WA
05
8152365
WA
Enumeration date
09/23/2005
Last updated
12/28/2009
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