Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD21292 | DC |
Y | 208600000X | Surgeon | MD21292 | DC |
N | 2086S0102X | Surgical Critical Care | MD21292 | DC |
N | 2086S0127X | Trauma Surgeon | MD21292 | DC |
N | 2086X0206X | Surgical Oncologist | MD21292 | DC |
N | 208D00000X | General Practice Physician | MD21292 | DC |
NPI | 1245224369 |
---|---|
Provider Name | Dr. William James Brownlee III |
First Address | Washington, DC 20012-1022 |
Second Address | Washington, DC 20017-2107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2005 |
Last Update Date | 26/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H24223 | (02) |