Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD60949831 | WA |
NPI | 1205079365 |
---|---|
Provider Name | Cathryn Joyce Vadala |
First Address | Green Bay, WI 54303-3211 |
Second Address | Kennewick, WA 99336-2623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2009 |
Last Update Date | 16/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2132909 | (05) | WA |