Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD60723753 | WA |
NPI | 1063406619 |
---|---|
Provider Name | Dr. John William Topping III |
First Address | Yakima, WA 98902 |
Second Address | Yakima, WA 98902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2005 |
Last Update Date | 01/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04000935 | RAIL ROAD MEDICARE (01) | OR |
207501 | (05) | OR |
900847001 | BLUE CROSS BLUE SHIELD (01) | OR |
B002 | TRICARE (01) | OR |
G21422 | (02) | OR |