Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT.60415341 | WA |
NPI | 1023445723 |
---|---|
Provider Name | Dr. Stephen Matthew Phipps |
First Address | Seattle, WA 98122-5649 |
Second Address | Seattle, WA 98122-5649 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2013 |
Last Update Date | 26/12/2014 |