Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207ND0900X | Dermatopathologist | MD0000050430 | TN |
Y | 207ND0900X | Dermatopathologist | MD60482188 | WA |
NPI | 1699947747 |
---|---|
Provider Name | Dr. John Zhang |
First Address | Mill Creek, WA 98012-1797 |
Second Address | Mill Creek, WA 98012-1797 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2008 |
Last Update Date | 17/03/2018 |