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NPI Code Detail

MEDICARE: ANDREW C BECKSTROM MD

MEDICARE:   ANDREW C BECKSTROM  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD60017625WA
22080N0001XNeonatal-Perinatal Medicine PhysicianMD60017625WA

General Provider Information

NPI Number : 1902819733
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW C BECKSTROM MD
Provider Business Mailing Address
First Line : 10700 MERIDIAN AVE N
Second Line : SUITE 503
City : SEATTLE
State : WA
Zip : 98133-9008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10700 MERIDIAN AVE N
Second Line : SUITE 503
City : SEATTLE
State : WA
Zip : 98133-9008
Country : US
Telephone Number : 206-526-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 09/13/2011

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Directions to “ ANDREW C BECKSTROM MD” Practice Location

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