Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DE00010779 | WA |
Y | 213EG0000X | General Practice | DE00010779 | WA |
NPI | 1003020678 |
---|---|
Provider Name | Dr. Alfonso F Pineyro |
First Address | Seattle, WA 98103 |
Second Address | Monroe, WA 98272 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/07/2007 |