Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | MD00019085 | WA |
NPI | 1003806142 |
---|---|
Provider Name | Dr. Richard Craig Griffiths |
First Address | Bellevue, WA 98006-0408 |
Second Address | Seattle, WA 98122-5699 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0018301 | DEPT OF LABOR & INDUSTRIE (01) | WA |
1098409 | (05) | WA |
A04609 | (02) | WA |
G675 | REGENCE BLUE SHIELD (01) | WA |