Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD00038502 | WA |
NPI | 1003840612 |
---|---|
Provider Name | Dr. Stephen I Tilghman |
First Address | Seattle, WA 98199-1446 |
Second Address | Bellevue, WA 98007-6538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G91940 | (02) |