Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ML60651688 | WA |
N | 111NI0900X | Internist | ML60651688 | WA |
Y | 207RC0000X | Internist - Cardiovascular Disease | MD60864977 | WA |
NPI | 1023407806 |
---|---|
Provider Name | Dr. Alexander Taylor |
First Address | Seattle, WA 98195-6422 |
Second Address | Seattle, WA 98195-6008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2015 |
Last Update Date | 28/06/2019 |