Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | ME33244 | WA |
NPI | 1316020159 |
---|---|
Provider Name | Dr. Neal David Futran |
First Address | Seattle, WA 98195-6515 |
Second Address | Seattle, WA 98195-6515 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 23/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1316020159 | (05) | WA |
F25712 | (02) | WA |