Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD00026314 | WA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD00026314 | WA |
NPI | 1114003837 |
---|---|
Provider Name | Dr. Thomas E Trumble |
First Address | Mercer Island, WA 98040-2804 |
Second Address | Bellevue, WA 98004-3740 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 27/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8113649 | (05) | WA |
8487 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
A57146 | (02) |