Individual
DR. MARK EDWARD BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3020 RUCKER AVE STE 306, EVERETT, WA 98201-3900
(425) 339-8799
(425) 339-5263
Mailing address
3020 RUCKER AVE STE 306, EVERETT, WA 98201-3900
(425) 339-8799
(425) 339-5263
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
52107
GA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
52107
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52107
MEDICAL LICENSE
GA
Enumeration date
09/22/2017
Last updated
07/21/2022
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