Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 264042 | MA |
N | 111NI0900X | Internist | 264042 | MA |
N | 207R00000X | Internist | MD61088338 | WA |
N | 111NI0900X | Internist | MD61088338 | WA |
Y | 207SG0201X | Clinical Genetics (M.D.) | MD61088338 | WA |
NPI | 1639550635 |
---|---|
Provider Name | Andrew Ben Stergachis |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-6110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2015 |
Last Update Date | 02/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1639550635 | (05) | WA |