Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | RN001008993 | WA |
NPI | 1174820666 |
---|---|
Provider Name | Dominic K Rossbotham |
First Address | Seattle, WA 98155 |
Second Address | Seattle, WA 98155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2011 |
Last Update Date | 17/02/2011 |