Individual
DAVID C BEAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 515-5811
(206) 515-5886
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00021518
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039593
LABOR & INDUSTRY
WA
05
—
1028885
—
WA
01
—
180038223
RAILROAD MEDICARE
—
01
—
BE7117
BLUE SHIELD
WA
01
—
US4120423
AETNA/USHC SPECIALIST
WA
Enumeration date
07/07/2006
Last updated
06/02/2008
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