Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 34005049 | OH |
NPI | 1013083245 |
---|---|
Provider Name | Dr. William Byrne Cogar |
First Address | Silverdale, WA 98383-9352 |
Second Address | Bremerton, WA 98312-1898 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 19/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
FC9850911 | DEA (01) |