Individual
MARK W BEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
925 SENECA ST, SEATTLE, WA 98101-2742
(206) 583-6079
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP00002299
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8519464
—
WA
Enumeration date
02/15/2007
Last updated
07/01/2013
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