Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | MD00018946` | WA |
NPI | 1376567883 |
---|---|
Provider Name | Garrison H Ayars |
First Address | Bellevue, WA 98004-3732 |
Second Address | Bellevue, WA 98004-3732 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 03/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1283704 | (05) | WA |
A04009 | (02) | WA |