Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD00028289 | WA |
N | 111NI0900X | Internist | MD00028289 | WA |
Y | 207SG0201X | Clinical Genetics (M.D.) | MD00028289 | WA |
NPI | 1801971619 |
---|---|
Provider Name | Dr. Gail P Jarvik |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-6127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 02/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1801971619 | (05) | WA |
E38333 | (02) |