Individual
DAVID C BEAUDRY
Active
Individual
DAVID C BEAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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