Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD60263386 | WA |
NPI | 1083803324 |
---|---|
Provider Name | Charles M May |
First Address | Bremerton, WA 98310-4229 |
Second Address | Poulsbo, WA 98370 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2007 |
Last Update Date | 13/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
124917 | (05) | OR |
C94433 | (02) | OR |