Provider Demographics
NPI:1831275155
Name:CUMMINGS, DAVID EUSTACE (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:EUSTACE
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:PROF
Other - First Name:DAVID
Other - Middle Name:EUSTACE
Other - Last Name:CUMMINGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1660 S COLUMBIAN WAY
Mailing Address - Street 2:VA PUGET SOUND HEALTH CARE SYSTEM, S-111-ENDO
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-1532
Mailing Address - Country:US
Mailing Address - Phone:206-764-2335
Mailing Address - Fax:206-764-2689
Practice Address - Street 1:1660 S COLUMBIAN WAY
Practice Address - Street 2:VA PUGET SOUND HEALTH CARE SYSTEM, S-111-ENDO
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1532
Practice Address - Country:US
Practice Address - Phone:206-764-2335
Practice Address - Fax:206-764-2689
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000267491744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study