Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD61140852 | WA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | MD61140852 | WA |
NPI | 1770798647 |
---|---|
Provider Name | Dr. Burt Yaszay |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98105-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2007 |
Last Update Date | 13/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1770798647 | (05) | WA |