Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | MD00037727 | WA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | MD00037727 | WA |
NPI | 1174662431 |
---|---|
Provider Name | Carlo Bellabarba |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98104-2420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 21/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8245680 | (05) | WA |
G76126 | (02) | WA |