Provider Demographics
NPI:1821127671
Name:WELTON, DAVID EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:EDWARD
Last Name:WELTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7980 HEADLANDS WAY
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:WA
Mailing Address - Zip Code:98236-9218
Mailing Address - Country:US
Mailing Address - Phone:360-579-1030
Mailing Address - Fax:
Practice Address - Street 1:18631 ALDERWOOD MALL PKWY
Practice Address - Street 2:SUITE 310
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-8014
Practice Address - Country:US
Practice Address - Phone:425-774-8251
Practice Address - Fax:425-775-1063
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00045164207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAA36957Medicare UPIN