Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD61019703 | WA |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD61019703 | WA |
NPI | 1073803276 |
---|---|
Provider Name | Dr. Samuel E. Galle |
First Address | Kirkland, WA 98034-3064 |
Second Address | Kirkland, WA 98034-3064 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2011 |
Last Update Date | 27/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2154001 | (05) | WA |