Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD00033696 | WA |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD00033696 | WA |
NPI | 1225196223 |
---|---|
Provider Name | Dr. Delbert E. Casey Jones |
First Address | Olympia, WA 98513-4125 |
Second Address | Olympia, WA 98513-4125 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 08/07/2007 |