Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD60279136 | WA |
NPI | 1578618450 |
---|---|
Provider Name | Dr. Mark Andrew Reed |
First Address | Seattle, WA 98103-6907 |
Second Address | Seattle, WA 98103-6907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 29/08/2012 |