Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD 60447363 | WA |
NPI | 1457525149 |
---|---|
Provider Name | Dr. Dorian Yvonne Reid |
First Address | Tacoma, WA 98405-4267 |
Second Address | Tacoma, WA 98405-4267 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2008 |
Last Update Date | 28/04/2021 |