Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | MD60125313 | WA |
N | 208000000X | Pediatrician | MD60125313 | WA |
NPI | 1558683524 |
---|---|
Provider Name | Anita E Beck |
First Address | Seattle, WA 98145-5003 |
Second Address | Seattle, WA 98105-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2010 |
Last Update Date | 18/02/2010 |