Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT00000783 | WA |
NPI | 1013065242 |
---|---|
Provider Name | Dr. Dean E. Neary JR. |
First Address | Monroe, WA 98272-0944 |
Second Address | Sultan, WA 98294-8607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 29/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5842NE | REGENCE RIDER (01) | WA |