Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DE00010558 | WA |
NPI | 1215011093 |
---|---|
Provider Name | Dr. David Harris Rule |
First Address | Nespelem, WA 99155-0071 |
Second Address | Nespelem, WA 99155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 29/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5400189 | (05) | WA |
5400197 | (05) | WA |