Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | MD00014356 | WA |
NPI | 1326137324 |
---|---|
Provider Name | Dr. Britton Lee Georges |
First Address | Bellevue, WA 98004-3811 |
Second Address | Bellevue, WA 98004-3811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1946904 | (05) | WA |
AO4542 | (02) | WA |