Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | MD00013280 | WA |
NPI | 1174594907 |
---|---|
Provider Name | Dr. Robert Eugene Billings |
First Address | Steilacoom, WA 98388-1201 |
Second Address | Mccleary, WA 98557-9522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 06/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1143700 | (05) | WA |
E71824 | (02) | WA |