Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD00030977 | WA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD00030977 | WA |
NPI | 1386674802 |
---|---|
Provider Name | David Q Santos |
First Address | Burien, WA 98166-3059 |
Second Address | Burien, WA 98166-3059 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 02/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2066625 | (05) | WA |
357764 | WA LABOR & INDUSTRIES (01) | WA |
E74518 | (02) | WA |