Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MD00048979 | WA |
NPI | 1043319023 |
---|---|
Provider Name | Elihu H. Estey |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98109-1023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 21/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0231108 | L&I (01) | WA |
1043319023 | (05) | WA |
C15513 | (02) |