Individual
ANTHONY BEAUMONT VAN BERGEYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 5TH ST SE STE 110, PUYALLUP, WA 98374-2106
(253) 845-9585
(253) 848-1126
Mailing address
3801 5TH ST SE STE 110, PUYALLUP, WA 98374-2106
(253) 845-9585
(253) 848-1126
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
601484763
WA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
MD00044729
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033926
—
WA
Enumeration date
06/07/2006
Last updated
10/16/2023
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