Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | MD000037832 | WA |
NPI | 1053523654 |
---|---|
Provider Name | Dr. Scott Clayton Sattler |
First Address | Mountlake Terrace, WA 98043-2222 |
Second Address | Mountlake Terrace, WA 98043-2222 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 15/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H63279 | (02) | WA |