Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | DE00004005 | WA |
NPI | 1013089440 |
---|---|
Provider Name | David Robert Steiner |
First Address | Tacoma, WA 98405-1462 |
Second Address | Tacoma, WA 98405-1462 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 08/07/2007 |