Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MD60690632 | WA |
NPI | 1013279298 |
---|---|
Provider Name | Dr. Alexander L. Grigalunas |
First Address | Seattle, WA 98112-5103 |
Second Address | Tacoma, WA 98405-3728 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2012 |
Last Update Date | 07/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2081786 | (05) | WA |