Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD00021505 | WA |
NPI | 1124082953 |
---|---|
Provider Name | Dr. Ronald Shapiro |
First Address | Spokane, WA 99203-3469 |
Second Address | Spokane, WA 99204-2361 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 08/07/2007 |