Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD00022276 | WA |
NPI | 1003999038 |
---|---|
Provider Name | David C. Warth |
First Address | Seattle, WA 98124-8426 |
Second Address | Seattle, WA 98133-8400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 17/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1088483 | (05) | WA |