Individual
TODD DAVID BETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1125 8TH AVE NE, ISSAQUAH, WA 98029-5035
(239) 287-1154
Mailing address
1125 8TH AVE NE, ISSAQUAH, WA 98029-5035
(239) 287-1154
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD61413019
WA
207P00000X
Emergency Medicine Physician
ME93270
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273698500
—
FL
01
—
30027
BLUE CROSS OF FLORIDA
FL
Enumeration date
09/29/2006
Last updated
01/01/2025
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