Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD00047476 | WA |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD00047476 | WA |
N | 208200000X | Surgeon | MD00047476 | WA |
N | 208600000X | Surgeon | MD00047476 | WA |
N | 2086S0105X | Surgery of the Hand | MD00047476 | WA |
NPI | 1528162740 |
---|---|
Provider Name | Dr. Matthew Robon |
First Address | Seattle, WA 98104-1172 |
Second Address | Bellevue, WA 98004-3804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2006 |
Last Update Date | 15/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0224034 | L & I (01) | WA |
G8871730 | MEDICARE POSM (01) | WA |
G8876645 | MEDICARE EMRI (01) | WA |
P00688981 | MEDICARE RR KING CO. (01) | WA |