Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | DR61161224 | WA |
NPI | 1326656216 |
---|---|
Provider Name | Dr. Joshua Yuki Alumbaugh |
First Address | Seattle, WA 98115-8723 |
Second Address | Seattle, WA 98108-1532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2020 |
Last Update Date | 28/07/2021 |