Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH00003283 | WA |
NPI | 1023139680 |
---|---|
Provider Name | Dr. Paul B Byers |
First Address | Kent, WA 98030-4779 |
Second Address | Kent, WA 98030-4779 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 06/02/2008 |