Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 22349 | KY |
Y | 207Q00000X | Family Doctor | MD00020220 | WA |
N | 207QA0401X | Family Doctor - Addiction Medicine | MD00020220 | WA |
NPI | 1942290275 |
---|---|
Provider Name | Dr. John M Asriel SR. |
First Address | Yakima, WA 98902-3550 |
Second Address | Ellensburg, WA 98926-3865 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2005 |
Last Update Date | 22/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0263423 | LABOR & INDUSTRIES (01) | WA |
8563199 | (05) | WA |
P00889471 | RAILROAD MEDICARE (01) | WA |