Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | 13103 | HI |
N | 2088P0231X | Pediatric Urologist | 062671 | GA |
Y | 2088P0231X | Pediatric Urologist | 60212116 | WA |
NPI | 1063525723 |
---|---|
Provider Name | Dr. Scott Paul Cuda |
First Address | Tacoma, WA 98431-0001 |
Second Address | Tacoma, WA 98431-7282 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 03/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
221411831A | (05) | GA |
FC1505784 | DEA (01) | |
VAD000 | (02) |