Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | MD60788000 | WA |
NPI | 1265563019 |
---|---|
Provider Name | Dr. Christopher Norris Herndon |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98105-6008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1265563019 | (05) | WA |