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NPI Code Detail

MEDICARE: BETH LEE FRICKE MD

MEDICARE: BETH LEE FRICKE 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
1207Q00000XFamily Medicine PhysicianMD60748474WA

General Provider Information

NPI Number : 1417342593
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH LEE FRICKE MD
Provider Business Mailing Address
First Line : 15214 AURORA AVE N
Second Line :
City : SHORELINE
State : WA
Zip : 98133-6143
Country : US
Telephone Number : 206-320-2484
Fax Number :
Provider Business Practice Location Address
First Line : 15214 AURORA AVE N
Second Line :
City : SHORELINE
State : WA
Zip : 98133-6143
Country : US
Telephone Number : 206-518-9021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2015
Last Update Date : 08/17/2023

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Directions to “ BETH LEE FRICKE MD” Practice Location

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