Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CH00003532 | WA |
NPI | 1215153630 |
---|---|
Provider Name | Dr. Thomas Gentry Mcgrath |
First Address | Bellevue, WA 98007-3710 |
Second Address | Bellevue, WA 98007-3710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |