Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD00029279 | WA |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD00029279 | WA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD00029279 | WA |
N | 207XS0117X | Orthopaedic Spine Surgeon | MD00029279 | WA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD00029279 | WA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD00029279 | WA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | MD00029279 | WA |
NPI | 1396777082 |
---|---|
Provider Name | Dr. David Smith Badger |
First Address | Kirkland, WA 98034-7500 |
Second Address | Kirkland, WA 98034-7500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F14299 | (02) | WA |