Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD00014739 | WA |
N | 207RA0201X | Internist - Allergy & Immunology | MD00014739 | WA |
NPI | 1306893334 |
---|---|
Provider Name | Dr. Jay Davis Sprenger |
First Address | Seattle, WA 98115-2060 |
Second Address | Seattle, WA 98115-2060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 13/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1306893334 | (05) | WA |
I33461 | (02) |