Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 4301114286 | MI |
Y | 207VG0400X | Gynecologist | MD61142511 | WA |
NPI | 1053607523 |
---|---|
Provider Name | Casey Hay |
First Address | Spokane, WA 99204-2307 |
Second Address | Spokane, WA 99204-2307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2011 |
Last Update Date | 07/05/2021 |