Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD00014735 | WA |
NPI | 1003945643 |
---|---|
Provider Name | Dr. Richard L Semon |
First Address | Seattle, WA 98101-1878 |
Second Address | Everett, WA 98201-4261 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 30/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A09193 | (02) | WA |