Healthcare Provider Details

I. General information

NPI: 1386669562
Provider Name (Legal Business Name): DAVID N DRUCKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DAVID N DRUCKER M.D.

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 N 115TH ST SUITE 105
SEATTLE WA
98133-8421
US

IV. Provider business mailing address

1530 N 115TH ST., SUITE 105
SEATTLE WA
98133-8411
US

V. Phone/Fax

Practice location:
  • Phone: 206-363-7035
  • Fax: 206-363-9067
Mailing address:
  • Phone: 206-363-7035
  • Fax: 206-363-9067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License NumberMD00025765
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: