Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD00043536 | WA |
N | 207PE0004X | Emergency Medical Services | MD00043536 | WA |
NPI | 1003972183 |
---|---|
Provider Name | Dr. Gregory Paul Garcia |
First Address | Seattle, WA 98105-4833 |
Second Address | Burien, WA 98166-3017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2006 |
Last Update Date | 03/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I12520 | (02) | WA |