Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD00018410 | WA |
NPI | 1013090190 |
---|---|
Provider Name | David L Brown |
First Address | Yakima, WA 98909-0787 |
Second Address | Yakima, WA 98902-3761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 23/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8542706 | (05) | WA |
E53833 | (02) | WA |