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Individual

DR. DAVID L BECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4076 CRYSTAL SPRINGS DR NE, BAINBRIDGE ISLAND, WA 98110-2041
(206) 780-9745
Mailing address
4076 CRYSTAL SPRINGS DR NE, BAINBRIDGE ISLAND, WA 98110-2041
(206) 780-9745

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00024405
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0165077
L&I ID#
WA
05
1641109
WA
01
376418800
FEDERAL L&I ID#
WA
01
5163BE
REGENCE RIDER#
WA
01
910875163-37
KPS ID#
WA
Enumeration date
06/06/2006
Last updated
01/05/2015
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