Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | NT00000600 | WA |
NPI | 1043359169 |
---|---|
Provider Name | Dr. Michael Bruce Varon |
First Address | Seattle, WA 98118-2839 |
Second Address | Seattle, WA 98122-2735 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 08/07/2007 |